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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OSAMA KHALED ALI KADDOURAH, M.D.

Deactivated

OSAMA KHALED ALI KADDOURAH, M.D. is a Gastroenterology healthcare provider located in SALISBURY, Maryland. NPI 1619358181 is deactivated in the NPPES registry. Verify at CMS.

Gastroenterology · SALISBURY, MD

This NPI has been deactivated. The record was deactivated on January 20, 2016. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1619358181
Provider Type
Individual
Gender
Male
NPI Issued
Jun 10, 2015 (0.6120218579235 yrs)
Last Updated
Aug 31, 2021
Deactivated
Jan 20, 2016
Licenses
2015017267 (MO)
2015017267 (MO)
D0092318 (MD)

Practice Information

Address
1640 WOODBROOKE DR
SALISBURY, MD, 218048501
Browse MD providers · Browse ZIP 21804
Phone
4109125640
Primary Specialty
Gastroenterology
207RG0100X
Additional Specialty
Gastroenterology
Additional Specialty
Gastroenterology

Other Gastroenterology Providers in SALISBURY, MD

Name Credential NPI
HWAN YOUNG YOO MD 1730173436
DR. JOHN O MEADOWS M.D. 1740229814
DR. MELIK TIBA MD 1255683181
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.