Fahoum, Bashar

Fahoum, Bashar is an sole proprietor health care provider with primary practice located at 506 6Th St Dept Of Surgery, Brooklyn NY 11215-3609. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Fahoum, Bashar can be contacted via phone (718) 780-3288.

Contact Information

Primary practice address
506 6Th St Dept Of Surgery Brooklyn NY 11215-3609
Phone: (718) 780-3288
Fax: (718) 780-3154
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 192383 New York
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 192383 New York

Profile Details

NPI number 1053486985
LBN Legal business name Fahoum, Bashar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2006
Last updated May 10th, 2008 - about 17 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 1053486985 NPPES
New York MEDICAID 01484844

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