Basic Information
| Provider Information | |||||||||
| NPI: | 1336609452 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUFDHI | ||||||||
| FirstName: | RAIED | ||||||||
| MiddleName: | TALAL | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3000 ARLINGTON AVE # MS 1150 | ||||||||
| Address2: | |||||||||
| City: | TOLEDO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 436142598 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4193836801 | ||||||||
| FaxNumber: | 4193836180 | ||||||||
| Practice Location | |||||||||
| Address1: | 3000 ARLINGTON AVE # MS 1150 | ||||||||
| Address2: | |||||||||
| City: | TOLEDO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 436142598 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4193836801 | ||||||||
| FaxNumber: | 4193836180 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/24/2019 | ||||||||
| LastUpdateDate: | 10/12/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/12/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207RI0200X | 35.144778 | OH | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
No ID Information.