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Individual
MOHAMMED M. BAKDASH
Active
Individual
MOHAMMED M. BAKDASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E2132
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
E2132
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107931110
FIRSTCARE (GRACE CLINIC)
TX
05
—
1286387 08
—
TX
01
—
4393386
AETNA
TX
01
—
8V8694
BCBS-TX (GRACE CLINIC DR)
TX
Enumeration date
10/11/2005
Last updated
02/03/2022
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