Baccora, Mohammed Hosam Aldin

Baccora, Mohammed Hosam Aldin is an individual health care provider with primary practice located at 1701 3Rd St Se Ste 300, Puyallup WA 98372-4511. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Baccora, Mohammed Hosam Aldin can be contacted via phone (253) 697-4740.

Contact Information

Primary practice address
1701 3Rd St Se Ste 300 Puyallup WA 98372-4511
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD00049133 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00049133 Washington

Profile Details

NPI number 1366567471
LBN Legal business name Baccora, Mohammed Hosam Aldin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Dec 21st, 2011 - about 14 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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