Alzahabi, Bashar
Alzahabi, Bashar is an sole proprietor health care provider with primary practice located at 900 W Temple Ave Ste 103, Effingham IL 62401-2186. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Alzahabi, Bashar can be contacted via phone (515) 964-2772.Contact Information
Primary practice address
900 W Temple Ave Ste 103
Effingham IL 62401-2186
Phone: (515) 964-2772
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036093669 | Illinois |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 036093669 | Illinois |
Profile Details
| NPI number | 1467448456 |
|---|---|
| LBN Legal business name | Alzahabi, Bashar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Dec 4th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467448456 | NPPES |
| Illinois | Other | 371322240 | TAX ID |
| Illinois | MEDICAID | 371322240001 | TAX ID |
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