Provider Demographics
NPI:1669032504
Name:JARADAT, BILAL GHASSAN (MD)
Entity Type:Individual
Prefix:DR
First Name:BILAL
Middle Name:GHASSAN
Last Name:JARADAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WEILL CORNELL MEDICINE-EDUCATION CITY-QATAR FOUNDATION
Mailing Address - Street 2:BILAL JARADAT
Mailing Address - City:DOHA
Mailing Address - State:QATAR
Mailing Address - Zip Code:24144
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:64 ROBBINS ST
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708-2613
Practice Address - Country:US
Practice Address - Phone:203-573-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-13
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT71036207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine