Search › Maryland › 207RG0100X

Osama Kaddourah, M.D

NPI 1619358181 · on the registry since 2015

Practice

Address
1640 Woodbrooke Dr
Salisbury, MD 21804
Phone
(410) 912-5640
Organisation at this address
Tidalhealth Specialty Care, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Additional practice sites

  • 2301 Holmes Street, Kansas City, MO

Registry record

Primary taxonomy
207RG0100X
207RG0100X
Also registered as
207R00000X
207RG0100X
390200000X
Licence states on file
MO, MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-08-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland