Bazaraa, Hesham M

Bazaraa, Hesham M is an individual health care provider with primary practice located at 761 45Th St Ste 110 , Munster IN 46321-2899. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Bazaraa, Hesham M can be contacted via phone (219) 922-3020.

Contact Information

Primary practice address
761 45Th St Ste 110 Munster IN 46321-2899
Phone: (219) 922-3020
Fax: (219) 922-3023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 01054298A Indiana

Profile Details

NPI number 1063407872
LBN Legal business name Bazaraa, Hesham M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Feb 23rd, 2023 - about last year

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 1063407872 NPPES
Indiana MEDICAID 200340980
Indiana MEDICAID 200340980A

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