Individual
MOHAMMAD MURTADHA AL BAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STUDENT
Contact information
Practice address
213 GLENDALE DR, CHARLESTOWN, IN 47111-1710
(812) 704-4058
Mailing address
213 GLENDALE DR, CHARLESTOWN, IN 47111-1710
(812) 704-4058
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
45023792A
IN
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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