Mechleb, Bassam K

Mechleb, Bassam K is an individual health care provider with primary practice located at 404 S 13Th Ave , Laurel MS 39440-4345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mechleb, Bassam K can be contacted via phone (601) 425-5544.

Contact Information

Primary practice address
404 S 13Th Ave Laurel MS 39440-4345
Phone: (601) 425-5544
Fax: (601) 425-5525
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 19531 Mississippi

Profile Details

NPI number 1063625325
LBN Legal business name Mechleb, Bassam K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Aug 23rd, 2016 - about 9 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 1063625325 NPPES
Mississippi MEDICAID 02182072
Mississippi Other P00417389
Mississippi Other 7837897

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