Kassis Hadid, Simon Jesus

Kassis Hadid, Simon Jesus is an individual health care provider with primary practice located at 16000 Johnston Memorial Dr Fl 4 , Abingdon VA 24211-7664. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Kassis Hadid, Simon Jesus can be contacted via phone (276) 258-1000.

Contact Information

Primary practice address
16000 Johnston Memorial Dr Fl 4 Abingdon VA 24211-7664
Phone: (276) 258-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME107402 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101277821 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 11608 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 0101277821 Virginia

Profile Details

NPI number 1548410590
LBN Legal business name Kassis Hadid, Simon Jesus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2008
Last updated Mar 26th, 2024 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548410590 NPPES
Florida Other 149P3 BC/BS
Florida Other DP021Z BC/BS

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