Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THAER BASIM ALQADOUMI, DDS, MS
ActiveDR. THAER BASIM ALQADOUMI, DDS, MS is a Periodontology healthcare provider located in INDIO, California. NPI 1487000592 is currently active in the NPPES registry. Verify at CMS.
Periodontology · INDIO, CA
Registration Details
- NPI Number
- 1487000592
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 6, 2016 (10.236998523127 yrs)
- Last Updated
- Oct 16, 2022
- Licenses
-
100200 (CA)100200 (CA)
Practice Information
- Address
-
81735 US HIGHWAY 111SUITE AINDIO, CA, 922010713Browse CA providers · Browse ZIP 92201
- Phone
- 7602384533
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.