Souheil Al-Jadda is a Surgery in Defiance, Ohio. Souheil Al-Jadda practices all healthcare services and medical treatments related to Surgery. The NPI Number for Souheil Al-Jadda is 1174564090. The last update date is 2014-06-25.
Souheil Al-Jadda's current location address is 1400 E 2nd St, Defiance, Ohio. You can contact this provider via phone number 4197841414. The mailing address for Souheil Al-Jadda is 1400 E 2nd St, Defiance, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Souheil Al-Jadda |
|---|---|
| Address | 1400 E 2nd St, Defiance, Ohio |
| Phone Number | 4197841414 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1174564090 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2014-06-25 |
Provider Mailing Address Detail
| Address | 1400 E 2nd St |
|---|---|
| City | Defiance |
| State | Ohio (OH) |
| Post Code | 435122440 |
| Phone Number | 4197841414 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 35038389 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 389182 | OH | -- |
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What is the unique identifier code issued to Souheil Al-Jadda by the Centers for Medicare & Medicaid Services (CMS)?
The Souheil Al-Jadda has been assigned the NPI (National Provider Identifier) 1174564090. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Souheil Al-Jadda?
The Souheil Al-Jadda is physically situated at 1400 E 2Nd St, in the city of Defiance, state of OH, with the postal code 435122440.
What is Souheil Al-Jadda's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Souheil Al-Jadda is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.
On what date did the Souheil Al-Jadda receive its 1174564090 assignment from the Centers for Medicare & Medicaid Services?
The Souheil Al-Jadda was assigned its 1174564090 by the Centers for Medicare & Medicaid Services on 2006-06-10.
As of what date were the details related to Souheil Al-Jadda most recently updated or revised?
The information pertaining to Souheil Al-Jadda, including its address, specialty, and other relevant details, was last updated or revised on 2014-06-25.