Individual
DR. HASNAIN S BAWAADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-7810
Mailing address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-7810
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-050780
IL
207R00000X
Internal Medicine Physician
52965
WI
207RP1001X
Pulmonary Disease Physician
Primary
52965
WI
207RP1001X
Pulmonary Disease Physician
C168125
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100004297
—
WI
Enumeration date
04/18/2007
Last updated
11/22/2021
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