Bakdash, Mohammed M.

Bakdash, Mohammed M. is an individual health care provider with primary practice located at 4515 Marsha Sharp Fwy , Lubbock TX 79407-2520. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Bakdash, Mohammed M. can be contacted via phone (806) 744-7223.

Contact Information

Primary practice address
4515 Marsha Sharp Fwy Lubbock TX 79407-2520
Phone: (806) 744-7223
Fax: (806) 740-3325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E2132 Texas
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X E2132 Texas

Profile Details

NPI number 1629066964
LBN Legal business name Bakdash, Mohammed M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Feb 3rd, 2022 - about 3 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 1629066964 NPPES
Texas Other 4393386 AETNA
Texas MEDICAID 1286387 08 AETNA
Texas Other 107931110 AETNA
Texas Other 8V8694 AETNA

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