Organization · NPI-2

A Hudaihed MD LLC

Internal Medicine, Nephrology · Panama City, FL

NPI number1285875468
StatusActive
Last updated in NPPESMar 17, 2009

Details

NPI
1285875468
Entity type
Organization (NPI-2)
Legal business name
A Hudaihed MD LLC
Organization subpart
No
Enumeration date
Mar 17, 2009
Last updated
Mar 17, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RN0300X Internal Medicine, NephrologyME103502FLYes

Practice location

221 Mckenzie Ave
Panama City, FL 32401-3128

Phone 201-920-6784

Mailing address

Po Box 1779
Lynn Haven, FL 32444-5979

Phone 201-920-6784

Authorized official

Alhakam Hudaihed
President
2019206784

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