Individual
DR. BADIH ANTONIO KABCHI JITANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7777 FOREST LN STE C840, DALLAS, TX 75230-2594
(252) 744-1600
Mailing address
2116 HOULTON LN, PLANO, TX 75025-3025
(252) 295-8773
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2014-02146
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
T-0531
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588820674
—
NC
01
—
19011
BCBS NC
NC
Enumeration date
07/29/2008
Last updated
12/09/2021
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