Individual
MOHAMAD BELAL ALDAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 852-1603
(502) 852-1961
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 561-8844
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
4351045455
MI
207RI0200X
Infectious Disease Physician
Primary
55652
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100739640
—
KY
Enumeration date
03/29/2019
Last updated
06/06/2022
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