Individual
AHMAD BAKDALIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7026 OLD KATY RD STE 276, HOUSTON, TX 77024-2187
(713) 358-0562
Mailing address
7026 OLD KATY RD STE 276, HOUSTON, TX 77024-2187
(713) 358-0562
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
71222
WI
2085P0229X
Pediatric Radiology Physician
71222
WI
2085R0202X
Diagnostic Radiology Physician
71222
WI
2085R0202X
Diagnostic Radiology Physician
Primary
S5835
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861874646
—
WI
Enumeration date
06/29/2015
Last updated
04/29/2020
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