New Provider Profile

Dear valued provider,
"You are invited to join our network. Kindly fill the required fields in the e-profile". If you are already a registered user, please  login and use this service to update your profile.
(All fields marked ( * ) are mandatory)

Provider Name *
(E.g., Abc Hospital)
Provider Type *
General Manager
(E.g., Bill Johnson)
Medical Director
(E.g., Bill Johnson)
Financial Manager
(E.g., Bill Johnson)
Medical Facility License Number *
(E.g., AB6000)
Medical Facility License Expiry Date* Medical Facility License Expiry Date

Address *
(E.g., 23,Kb,UAE)
Country *
Telephone Number*
(E.g., 971206145555)
Fax Number *
(E.g., 971206145555)
Contact Person*
(E.g., Bill Johnson)
E-Mail *
Mobile Number *
(E.g., 971507900000)
P.O.Box *
(E.g., 600123)

24 Hours Service *
Available License Speciality *
Master Specialities   Your Specialities

Spoken languages *
Master Languages   Your Languages

(Daman requires you to download the Doctors / Dentists List, fill-in the details and then upload it along with supportive documents below.)
Upload supportive documents :
Total size of all the attachments should not exceed 8 MB (8192 KB)