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Contact Information

NIDAL M QADDUMI, MD
900 23RD ST NW STE G-2092
WASHINGTON, DC20037-2342
 Phone: 202-715-4750
 Fax: 202-715-4759
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for NIDAL M QADDUMI · (Male)

NPI Number 1578551602
Status Active
Credentials MD
Entity Individual
Enumeration date 10/12/2005
Last updated 11/08/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • DC License # MD047552
  • TX License # L0736
  • VA License # 0101266805
  • TX Medicaid 143937405
  • LA Other 1115495 LOUISIANA MEDICAID
  • TX Other 8S9660 BLUE CROSS PROVIDER ID
  • TX Other P00260018 RAILROAD MEDICARE
Hospital affiliation(s)
  • GEORGE WASHINGTON UNIV HOSPITAL - (Acute Care)
    900 23RD ST NW
    WASHINGTON, DC 20037
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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