Bakdash, Husam

Bakdash, Husam is an individual health care provider with primary practice located at 3535 N Webb Rd , Wichita KS 67226-8127. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Bakdash, Husam can be contacted via phone (316) 686-5300.

Contact Information

Primary practice address
3535 N Webb Rd Wichita KS 67226-8127
Phone: (316) 686-5300
Fax: (316) 651-2660
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 04-30800 Kansas
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 04-30800 Kansas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 04-30800 Kansas

Profile Details

NPI number 1376500785
LBN Legal business name Bakdash, Husam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jan 31st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376500785 NPPES
Oklahoma MEDICAID 20037310A
Oklahoma Other 016883002
Oklahoma MEDICAID 200268820R
Oklahoma Other P00163976
Oklahoma MEDICAID 200268820L
Oklahoma Other KA3651013

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