Doctor Name: | DR. MAHA LAHOUD-BLADYKAS |
NPI Number: | 1386827590 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | ME122904 |
Business Practice Address: | 10000 Bay Pines Blvd Bay Pines, FL - 337448200 |
Business Phone Number: | 7273986661 |
Business Fax Number: | |
Mailing Address: | 7353 Hunt Club Ln, SEMINOLE |
State: | FL |
Postal Code: | 337764228 |
Phone Number: | 7276439697 |
Fax Number: | |
NPI Enumeration Date: | 12/11/2007 |
NPI Last Update Date: | 09/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | ME122904 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |