Doctor Name: | ZUHAIR M BAKDOUD |
NPI Number: | 1407829377 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 2817 Reilly Rd Womack Army Medical Center Fort Bragg, NC - 283107324 |
Business Phone Number: | 9109077626 |
Business Fax Number: | 9109078645 |
Mailing Address: | 509 Captains Pl, FAYETTEVILLE |
State: | NC |
Postal Code: | 283112952 |
Phone Number: | 9109077626 |
Fax Number: | 9109078645 |
NPI Enumeration Date: | 02/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |