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General NPI Number Information
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NPI Number | 1881720225
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Entity Type | Individual
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Provider Name | DAVID GHADISHA MD
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Gender | Male
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 301 HOSPITAL DR
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City | GLEN BURNIE
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State | MD
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Zip | 21061-5803
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Country | US
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Telephone | 410-787-4000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 15645
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City | LAS VEGAS
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State | NV
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Zip | 89114-5645
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Country | US
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Telephone | 702-240-8847
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Fax | 702-240-8790
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 12264
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D75359
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License Number State | MD
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