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Individual

DR. ALEXANDER WAFIC BARADEI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1805 N CALIFORNIA ST STE 201, STOCKTON, CA 95204-6032
(209) 645-4005
(209) 645-6344
Mailing address
35 FOLLY ROAD BLVD UNIT 201, CHARLESTON, SC 29407-2596
(678) 778-9634

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A200079
CA
207R00000X
Internal Medicine Physician
LL84152
SC
2084P0800X
Psychiatry Physician
Primary
A200079
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1053935775
CA
05
1760596480
SC
Enumeration date
05/29/2020
Last updated
07/14/2025
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