Kabchi Jitani, Badih Antonio

Kabchi Jitani, Badih Antonio is an individual health care provider with primary practice located at 7777 Forest Ln Ste C840 , Dallas TX 75230-2594. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Kabchi Jitani, Badih Antonio can be contacted via phone (252) 744-1600.

Contact Information

Primary practice address
7777 Forest Ln Ste C840 Dallas TX 75230-2594
Phone: (252) 744-1600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X T-0531 Texas
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 2014-02146 North Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1588820674
LBN Legal business name Kabchi Jitani, Badih Antonio
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2008
Last updated Dec 9th, 2021 - 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 1588820674 NPPES
North Carolina Other 19011 BCBS NC
North Carolina MEDICAID 1588820674 BCBS NC

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