Raed Al-dallow M.D.

  • 1164572095 NPI Number
  • |
  • Actived: 12 years ago
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According to our database, NPI number for Raed Al-dallow M.D. is 1164572095 and actived since Thursday, January 11 2007. Raed Al-dallow M.D. is an individual provider specializes in Specialist, primary practice location is 409 W Oak St, Carbondale, IL 62901. You can also contact Raed Al-dallow M.D. via telephone number is (618) 529-4455. Provider NPI information was last updated on 09/29/2019.

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Overview of Raed Al-dallow M.D.

  • NPI number: 1053952572
  • Provider type: Individual
  • Specialty: Specialist
  • Gender: Male
  • Active since: 01/11/2007
  • Last updated: 09/29/2019

Primary Scrop of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: 036106632
  • License State: IL

Provider Mailing Address

  • Address: Po Box 1105
    Indianapolis, IN 46206
  • Phone: 618-457-5200
  • Fax: 618-351-1287

Provider Practice Location

  • Address: 409 W Oak St
    Carbondale, IL 62901
  • Phone: 618-529-4455
  • Fax: 618-351-1287

Scope of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: 036106632
  • License State: IL
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 00390550
  • Identifier Type: Other
  • Identifier State: IL
  • Issuer: RAILROAD

Question & Answers

What is the npi number?

  • Q: What is the npi number for Raed Al-dallow M.D.?
  • A: The npi number for Raed Al-dallow M.D. is 1164572095.
  • Q: What are Raed Al-dallow M.D.'s specialties?
  • A: Raed Al-dallow M.D.'s specialties are Specialist and different specialities.
  • Q: What is the medical license for Raed Al-dallow M.D.?
  • A: The medical license number for Raed Al-dallow M.D. is 036106632 and issued in IL in USA.
  • Q: Where is Raed Al-dallow M.D. practice location?
  • A: Raed Al-dallow M.D. is practicing at 409 W Oak St, Carbondale, IL 62901.
  • Q: How to contact Raed Al-dallow M.D.?
  • A: You can contact Raed Al-dallow M.D. via 618-529-4455.