IndividualActive
Al Anoud Baddour, MD
NPI 1356082002 · Student in an Organized Health Care Education/Training Program · Salt Lake City, UT
Provider details
- NPI number
- 1356082002
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- BP10096347 (TX)
Practice location
175 N Medical Dr E Rm 5675
Salt Lake City, UT 84132-0002
Phone: (801) 581-2121
Mailing address
6431 Fannin St
Houston, TX 77030-1501
Registry dates
- Enumerated
- 2022-04-06
- Last updated
- 2026-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.