Individual provider · NPI-1

Dr. Mohamad Wissam Al-Baghdadi, MD

Internal Medicine, Critical Care Medicine · Glendale, AZ

NPI number1790773844
StatusActive
Last updated in NPPESOct 21, 2015

Details

NPI
1790773844
Entity type
Individual (NPI-1)
Name
Dr. Mohamad Wissam Al-Baghdadi
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Oct 12, 2005
Last updated
Oct 21, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0200X Internal Medicine, Critical Care Medicine40862AZYes
207R00000X Internal Medicine35083849AOH
207RP1001X Internal Medicine, Pulmonary Disease40862AZ
207R00000X Internal Medicine40862AZ

Practice location

5555 W Thunderbird
Banner Thunderbird Medical Center
Glendale, AZ 85306

Phone 602-865-2627 · Fax 602-865-2631

Mailing address

5555 W Thunderbird
Banner Thunderbird Medical Center
Glendale, AZ 85306

Phone 602-865-2627 · Fax 602-865-2632

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