Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD60974044 | WA |
Y | 207XS0117X | Orthopaedic Spine Surgeon | MD60974044 | WA |
NPI | 1073715546 |
---|---|
Provider Name | Omar Abdul-Hadi |
First Address | Silverdale, WA 98383-6807 |
Second Address | Silverdale, WA 98383-6807 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2007 |
Last Update Date | 16/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2143643 | (05) | WA |