Provider Demographics
NPI:1598385544
Name:BALDAWI, HARITH
Entity Type:Individual
Prefix:
First Name:HARITH
Middle Name:
Last Name:BALDAWI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10211 OLYMPIA DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-2931
Mailing Address - Country:US
Mailing Address - Phone:713-876-8206
Mailing Address - Fax:
Practice Address - Street 1:10211 OLYMPIA DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-2931
Practice Address - Country:US
Practice Address - Phone:713-876-8206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-20
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program