NPI 1053935775 · live from the CMS NPI Registry
Alexander Wafic Baradei, MD
Psychiatry & Neurology, Psychiatry in Stockton, CA. National Provider Identifier 1053935775, active.
NPI record
| NPI | 1053935775 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 1805 N California St Ste 201, Stockton, CA 95204 |
| Practice phone | 209-645-4005 |
| Mailing address | 35 Folly Road Blvd Unit 201, Charleston, SC 29407 |
| Enumerated | May 29, 2020 |
| Last updated | July 14, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | LL84152 (SC) |
| Internal Medicine | 207R00000X | A200079 (CA) |
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | A200079 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.