Bakdash, Mohammad Sami
Bakdash, Mohammad Sami is an individual health care provider with primary practice located at 1515 N Madison Ave , Anderson IN 46011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bakdash, Mohammad Sami can be contacted via phone (765) 298-4242.Contact Information
Primary practice address
1515 N Madison Ave
Anderson IN 46011
Phone: (765) 298-4242
Fax: (317) 355-8734
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 01082346A | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01082346A | Indiana |
Profile Details
| NPI number | 1104271790 |
|---|---|
| LBN Legal business name | Bakdash, Mohammad Sami |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2016 |
| Last updated | Feb 17th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104271790 | NPPES |
| Indiana | MEDICAID | 201368810 |
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