Qaddumi, Nidal Mohammad
Qaddumi, Nidal Mohammad is an individual health care provider with primary practice located at 900 23Rd St Nw Ste G-2092 , Washington DC 20037-2342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Qaddumi, Nidal Mohammad can be contacted via phone (202) 715-4750.Contact Information
Primary practice address
900 23Rd St Nw Ste G-2092
Washington DC 20037-2342
Phone: (202) 715-4750
Fax: (202) 715-4759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 0101266805 | Virginia |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | L0736 | Texas |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD047552 | District of Columbia |
Profile Details
| NPI number | 1578551602 |
|---|---|
| LBN Legal business name | Qaddumi, Nidal Mohammad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Nov 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578551602 | NPPES |
| Texas | Other | P00260018 | RAILROAD MEDICARE |
| Texas | MEDICAID | 143937405 | RAILROAD MEDICARE |
| Texas | Other | 1115495 | RAILROAD MEDICARE |
| Texas | Other | 8S9660 | RAILROAD MEDICARE |
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