Individual
YAHYA BAKDALIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3025 GULL RD, KALAMAZOO, MI 49048-1281
(269) 552-2225
Mailing address
6347 SITKA SPRUCE ST, PORTAGE, MI 49024-9031
(269) 779-8985
(620) 231-0081
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
35.090651
OH
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35.090651
OH
208100000X
Physical Medicine & Rehabilitation Physician
4301075956
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200265770A
—
KS
Enumeration date
10/03/2006
Last updated
05/02/2023
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