# KALID ADAB LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225383912
- **Authorized official:** LORI LABRECQUE (ACCOUNTS MGR)
- **Authorized official phone:** (702) 453-3799

## Contact information

- **Practice address:** 501 N. NAVAJO DRIVE, PAGE, AZ 86040-1447
- **Practice address phone:** (928) 645-2424
- **Mailing address:** PO BOX 221692, EL PASO, TX 79913-4692
- **Mailing address phone:** (702) 453-3799
- **Mailing address fax:** (702) 453-5741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | 45766 | AZ | Yes |

## Other

- **Enumeration date:** 07/18/2012
- **Last updated:** 07/18/2012