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Individual

DAHAN HUSSEIN AL-FADHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
611 E DOUGLAS, SUITE 309, MISHAWAKA, IN 46545-1467
(574) 335-6232
(574) 335-6233
Mailing address
707 E CEDAR ST, STE 200, SOUTH BEND, IN 46617-2057
(574) 335-8700
(574) 335-0760

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01053045
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000568251
BCBS
IN
01
000000710327
BCBS-HOSPITALIST
IN
05
200300400A
IN
Enumeration date
05/24/2006
Last updated
09/14/2016
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