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Individual

DR. MOHAMED BIDAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8881 FLETCHER PKWY STE 250A, LA MESA, CA 91942-3134
(619) 229-2626
(619) 286-5412
Mailing address
8881 FLETCHER PKWY STE 250A, LA MESA, CA 91942-3134
(619) 229-2626
(619) 286-5412

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G67528
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
OOG67528
CA
Enumeration date
08/26/2005
Last updated
07/27/2023
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