Individual
WAEL BAKDASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 MEDICAL ARTS BLVD, SUITE 201, ANDERSON, IN 46011-3458
(765) 298-5280
(765) 298-5279
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2890
(765) 298-5706
(765) 298-5279
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01047723
IN
207R00000X
Internal Medicine Physician
Primary
01047723A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000313050
ANTHEM
IN
05
—
200160960
—
IN
05
—
200325490N
—
IN
01
—
DB6584
RR MEDICARE
IN
01
—
P00120305
RR MEDICARE
IN
01
—
P01014114
RR MEDICARE PTAN
IN
Enumeration date
07/19/2006
Last updated
11/27/2023
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