Individual
FADI MOHAMMED THAER BDAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
802 N RIVERSIDE RD STE 220, SAINT JOSEPH, MO 64507-2509
(816) 271-7074
(816) 385-8083
Mailing address
802 N RIVERSIDE RD STE 220, SAINT JOSEPH, MO 64507-2509
(816) 271-7074
(816) 385-8083
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
0436448
KS
207RG0100X
Gastroenterology Physician
Primary
2012012460
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02702954
—
NY
05
—
30003987720003
—
KS
Enumeration date
06/11/2006
Last updated
10/25/2025
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