Bisharat, Mohannad Basem

Bisharat, Mohannad Basem is an sole proprietor health care provider with primary practice located at 3023 Perryton Pkwy Suite 101, Pampa TX 79065-2821. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Bisharat, Mohannad Basem can be contacted via phone (806) 663-5523.

Contact Information

Primary practice address
3023 Perryton Pkwy Suite 101 Pampa TX 79065-2821
Phone: (806) 663-5523
Fax: (806) 669-1491
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA08532200 New Jersey
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X Q3484 Texas

Profile Details

NPI number 1134459472
LBN Legal business name Bisharat, Mohannad Basem
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2010
Last updated Aug 3rd, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134459472 NPPES
Texas MEDICAID 345256701

Popular Providers