Hadi, Bassam Ar
Hadi, Bassam Ar is an individual health care provider with primary practice located at 10012 Kennerly Rd Ste 400 , Saint Louis MO 63128-2197. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Hadi, Bassam Ar can be contacted via phone (314) 543-5999.Contact Information
Primary practice address
10012 Kennerly Rd Ste 400
Saint Louis MO 63128-2197
Phone: (314) 543-5999
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 2003009742 | Missouri |
Profile Details
| NPI number | 1053345231 |
|---|---|
| LBN Legal business name | Hadi, Bassam Ar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Apr 11th, 2024 - about 8 months 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 | 1053345231 | NPPES |
| Kentucky | MEDICAID | 6401627200 | |
| Kentucky | Other | P00732227 | |
| Kentucky | Other | 000000525779 | |
| Kentucky | MEDICAID | 200316690A | |
| Kentucky | MEDICAID | 64016272 |
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