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Contact Information

KHADIJAH H BAH, FNP
6107 GRITTEN DR
FORNEY, TX75126-4169
 Phone: 301-281-7052
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Adolescent Medicine

207QA0000X 08 Physician/Family Practice
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
 

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for KHADIJAH H BAH · (Female)

NPI Number 1063170066
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 12/07/2021
Last updated 12/07/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 1060344
Hospital affiliation(s) Not Available
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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