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:
Health care specialties
Specialty | Code | License # | 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 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053486985 | NPPES |
New York | MEDICAID | 01484844 |
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