Individual
BADER ABU GHALYOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 E MARCH LN, STOCKTON, CA 95210-6629
(209) 464-3615
Mailing address
1801 E MARCH LN STE D400, STOCKTON, CA 95210-6675
(209) 464-3615
(209) 464-1537
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24179
WV
207RI0011X
Interventional Cardiology Physician
Primary
C169074
CA
208M00000X
Hospitalist Physician
24179
WV
Other
Enumeration date
05/04/2007
Last updated
06/25/2020
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