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Organization
KODIAK PHYSIATRY CONSULTING
Active
Organization
KODIAK PHYSIATRY CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILAAL A SAIF DO (OWNER)
(240) 291-0197
Entity
Organization
Contact information
Practice address
141 S MAIN ST, BOONSBORO, MD 21713-1203
(301) 432-5457
Mailing address
5 PUBLIC SQ ST 301, #604, HAGERSTOWN, MD 21740
(240) 291-0197
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
01/27/2025
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