Individual provider · NPI-1

Talal M Al-Qaoud, MD

Transplant Surgery · Madison, WI

NPI number1376093716
StatusActive
Last updated in NPPESDec 22, 2020

Details

NPI
1376093716
Entity type
Individual (NPI-1)
Name
Talal M Al-Qaoud
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Oct 10, 2016
Certification date
Dec 22, 2020
Last updated
Dec 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
204F00000X Transplant Surgery64809-20WIYes
208600000X Surgery64809WI
208800000X Urology64809WI

Practice location

309 W Johnson St
Madison, WI 53703-3471

Phone 000-000-0000

Mailing address

309 W Johnson St
Madison, WI 53703-3471

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Transplant Surgery providers in Madison, WI