Ghabach, Bassam
Ghabach, Bassam is an individual health care provider with primary practice located at 1500 S Main St , Fort Worth TX 76104-4917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Ghabach, Bassam can be contacted via phone (817) 927-3941.Contact Information
Primary practice address
1500 S Main St
Fort Worth TX 76104-4917
Phone: (817) 927-3941
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 25355 | Oklahoma |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 04-35498 | Kansas |
Profile Details
| NPI number | 1245374180 |
|---|---|
| LBN Legal business name | Ghabach, Bassam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2007 |
| Last updated | Oct 29th, 2014 - about 11 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 | 1245374180 | NPPES |
| Kansas | MEDICAID | 200841860A |
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