Individual
BRIAN H BAGHDADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6522
(888) 972-8644
Mailing address
PO BOX 678207, DALLAS, TX 75267-8207
(800) 841-4236
(706) 653-1162
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20795
SC
2085R0204X
Vascular & Interventional Radiology Physician
20795
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207957
—
SC
05
—
790585P
—
NC
Enumeration date
04/26/2006
Last updated
11/30/2023
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