Individual
DAHAN HUSSEIN AL-FADHL
Active
Individual
DAHAN HUSSEIN AL-FADHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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