Mushannen, Bassam
Mushannen, Bassam is an sole proprietor health care provider with primary practice located at 1060 Fairfax Park Ste B, Tuscaloosa AL 35406. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Mushannen, Bassam can be contacted via phone (205) 758-6471.Contact Information
Primary practice address
1060 Fairfax Park Ste B
Tuscaloosa AL 35406
Phone: (205) 758-6471
Fax: (205) 758-6472
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20823 | Alabama |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 20823 | Alabama |
Profile Details
| NPI number | 1013974179 |
|---|---|
| LBN Legal business name | Mushannen, Bassam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2006 |
| Last updated | Jun 9th, 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 | 1013974179 | NPPES |
| Alabama | Other | 51075557 | BCBS |
| Alabama | MEDICAID | 000075557 | BCBS |
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