Talal Al Hendawi, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Madison, WI

NPI 1104664143 · NPPES record last updated Jul 24, 2024

Key facts

NPI
1104664143
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1675 Highland Ave
Madison, WI 53792-0002
Phone
(608) 890-7221
NPI assigned
Jul 15, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1675 Highland Ave
Madison, WI 53792-0002

Mailing address

749 University Row Ste 200
Madison, WI 53705-1465
Phone (608) 263-6400

Other providers in Madison, WI

All providers in Madison, WI · Student in an Organized Health Care Education/Training Program in Wisconsin

Sources for this page

Verify at the official NPI Registry.