Individual
SALAHUDDIN KADDOURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 DODSON AVE, STE 195, FORT SMITH, AR 72901-5182
(479) 709-7160
(479) 709-7455
Mailing address
PO BOX 402319, ATLANTA, GA 30384-2319
(479) 709-7399
(479) 709-7053
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E4455
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161355001
—
AR
05
—
200081350A
—
OK
Enumeration date
06/13/2006
Last updated
08/27/2010
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