Altajar, Bassam

Altajar, Bassam is an sole proprietor health care provider with primary practice located at 425 Nursing Home Dr , Arcadia FL 34266-3839. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Altajar, Bassam can be contacted via phone (941) 812-0896.

Contact Information

Primary practice address
425 Nursing Home Dr Arcadia FL 34266-3839
Phone: (941) 812-0896
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME83500 Florida
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X ME83500 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME83500 Florida

Profile Details

NPI number 1013945815
LBN Legal business name Altajar, Bassam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2006
Last updated Feb 22nd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013945815 NPPES
Florida MEDICAID 264341300

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