Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Airada Daamdee Bactawar, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134862063

Airada Daamdee Bactawar, MD is a Student in an Organized Health Care Education/Training Program in Bowling Green, Kentucky. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

250 Park St
Bowling Green, KY 42101-1760
Phone: (270) 796-6540
Fax: (270) 796-6576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1134862063
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2022
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

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