Individual
WAEL BAKDASH
Active
Individual
WAEL BAKDASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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