Razzouk, Bassem I

Razzouk, Bassem I is an individual health care provider with primary practice located at 2001 W 86Th St , Indianapolis IN 46260-1902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Razzouk, Bassem I can be contacted via phone (317) 338-4673.

Contact Information

Primary practice address
2001 W 86Th St Indianapolis IN 46260-1902
Phone: (317) 338-4673
Fax: (317) 338-3227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 01063092A Indiana

Profile Details

NPI number 1124021829
LBN Legal business name Razzouk, Bassem I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Apr 11th, 2012 - about 13 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 1124021829 NPPES
Louisiana MEDICAID 1550469
Louisiana MEDICAID 205028707
Louisiana MEDICAID 64928971
Louisiana MEDICAID Q30048
Louisiana MEDICAID 00119428
Louisiana MEDICAID 006737242
Louisiana MEDICAID 3898886
Louisiana MEDICAID 009913930
Louisiana MEDICAID 060502401
Louisiana MEDICAID 1135341 00
Louisiana MEDICAID 422400000
Louisiana MEDICAID 0535740
Louisiana MEDICAID 100017620A
Louisiana MEDICAID 200179550A
Louisiana MEDICAID 7611308

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