Bahnassi, Amjad

Bahnassi, Amjad is an sole proprietor health care provider with primary practice located at 435 Shrewsbury St Ste 1 , Worcester MA 01604-1691. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Bahnassi, Amjad can be contacted via phone (508) 753-5554.

Contact Information

Primary practice address
435 Shrewsbury St Ste 1 Worcester MA 01604-1691
Phone: (508) 753-5554
Fax: (508) 752-7245
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 59555 Massachusetts
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 59555 Massachusetts

Profile Details

NPI number 1487754974
LBN Legal business name Bahnassi, Amjad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2006
Last updated Feb 16th, 2021 - about 3 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 1487754974 NPPES
Other 220864 HARVARD PILGRIM
MEDICAID 3032639 HARVARD PILGRIM
Other 260028312 HARVARD PILGRIM
Other 719978 HARVARD PILGRIM
Other 984940 HARVARD PILGRIM
Other J07208 HARVARD PILGRIM
Other 280650 HARVARD PILGRIM

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