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Individual

DR. LAITH MOHAMED KADASI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6099
(541) 382-4900
Mailing address
PO BOX 6048, BEND, OR 97708-6048
(541) 382-4900

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
LP03284
RI
207W00000X
Ophthalmology Physician
MD-44979
IA
207W00000X
Ophthalmology Physician
Primary
MD191916
OR
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD-44979
IA
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
MD-44979
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500757991
OR
Enumeration date
06/17/2014
Last updated
05/24/2023
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