Individual
FAHAD KIDWAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
848 NEW MARK ESPLANADE, ROCKVILLE, MD 20850-2750
(201) 685-2295
Mailing address
848 NEW MARK ESPLANADE, ROCKVILLE, MD 20850-2750
(201) 685-2295
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2002097075
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53231968
KAISER
MD
Enumeration date
02/24/2017
Last updated
02/24/2017
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