Individual
MAHMOUD AL-FADHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
52103 BRENDON HILLS DR, GRANGER, IN 46530-7811
(574) 485-8828
Mailing address
52103 BRENDON HILLS DR, GRANGER, IN 46530-7811
(574) 485-8828
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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