Kaddourah, Osama Khaled Ali

Kaddourah, Osama Khaled Ali is an individual health care provider with primary practice located at 1640 Woodbrooke Dr , Salisbury MD 21804-8501. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Kaddourah, Osama Khaled Ali can be contacted via phone (410) 912-5640.

Contact Information

Primary practice address
1640 Woodbrooke Dr Salisbury MD 21804-8501
Phone: (410) 912-5640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2015017267 Missouri
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 2015017267 Missouri
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X D0092318 Maryland

Profile Details

NPI number 1619358181
LBN Legal business name Kaddourah, Osama Khaled Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2015
Last updated Aug 31st, 2021 - about 4 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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