SALAHUDDIN KADDOURA MD NPI 1538102322

NPI Information

NPI: 1538102322
Provider Name: SALAHUDDIN KADDOURA, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: BAPTIST HEALTH SERVICES

PECOS Registration: Yes

Address:
1500 DODSON AVE
STE 195
FORT SMITH, AR
ZIP 72901
Phone: (479) 709-7160
Get Directions

Salahuddin Kaddoura, MD is a family medicine in Fort Smith, AR with 26 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Salahuddin Kaddoura, MD NPI is 1538102322. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1500 DODSON AVE
STE 195
FORT SMITH, AR
ZIP 72901-182
Phone: (479) 709-7160
Fax: (479) 709-7455

The NPI 1538102322 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 8/27/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		E4455	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	200081350A	MEDICAID	OKLAHOMA
2	161355001	MEDICAID	ARKANSAS
3	I55529	MEDICARE UPIN	ARKANSAS
4	5N554	MEDICARE PIN	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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