# DR. WADDAH MASKOUN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1295836211
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | E-8285 | AR | Yes |
| 208M00000X | Hospitalist Physician | 51037 | WI | — |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 03/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01061491A | LICENSE | IN |
| 01 | — | 51037-020 | STATE LICENSE | WI |
