Baki, Husam

Baki, Husam is an individual health care provider with primary practice located at 616 E 13Th St , Winamac IN 46996. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Baki, Husam can be contacted via phone (574) 946-2104.

Contact Information

Primary practice address
616 E 13Th St Winamac IN 46996
Phone: (574) 946-2104
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01056375A Indiana
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X 01056375A Indiana

Profile Details

NPI number 1316129695
LBN Legal business name Baki, Husam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2007
Last updated Oct 20th, 2019 - about 5 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 1316129695 NPPES
Indiana Other 000000940640 BCBS
Indiana MEDICAID 200383950 BCBS

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