Individual
DR. WADDAH AHDAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9696 GORDON DR, HIGHLAND, IN 46322-2909
(219) 937-2511
(219) 937-2522
Mailing address
9696 GORDON DR, HIGHLAND, IN 46322-2909
(219) 937-2511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01046859A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088188
—
IL
05
—
200135920B
—
IN
Enumeration date
05/27/2006
Last updated
03/17/2021
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