Individual
DR. FADI N JOUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2626 N WEBB RD, WICHITA, KS 67226-8110
(316) 636-6100
(316) 636-5813
Mailing address
2626 N WEBB RD, WICHITA, KS 67226-8110
(316) 636-6100
(316) 636-5813
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
04-34329
KS
208800000X
Urology Physician
35511
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0434399
—
IA
05
—
200653860A
—
KS
01
—
39272
WELLMARK BCBS
IA
Enumeration date
08/12/2005
Last updated
05/02/2013
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