Individual
DR. WALEED FOUAD MOURAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3699 EPWORTH RD, NEWBURGH, IN 47630-8909
(812) 471-1200
Mailing address
975 E. THIRD STREET, ATTN: PROVIDER ENROLLMENT, CHATTANOOGA, TN 37403
(423) 490-9080
(423) 778-9390
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01093324A
IN
2085R0001X
Radiation Oncology Physician
072363
GA
2085R0001X
Radiation Oncology Physician
51914
KY
Other
Enumeration date
04/09/2009
Last updated
05/22/2024
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