Srour, Bassem
Srour, Bassem is an individual health care provider with primary practice located at 8840 Calumet Ave Ste 203 , Munster IN 46321-2546. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Srour, Bassem can be contacted via phone (219) 836-7723.Contact Information
Primary practice address
8840 Calumet Ave Ste 203
Munster IN 46321-2546
Phone: (219) 836-7723
Fax: (219) 836-7726
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036117729 | Illinois |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 01075048A | Indiana |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 01075048A | Indiana |
Profile Details
| NPI number | 1851599179 |
|---|---|
| LBN Legal business name | Srour, Bassem |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2007 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1851599179 | NPPES |
| Indiana | Other | 217960001 | MEDICARE PTAN |
| Indiana | MEDICAID | 201288330 | MEDICARE PTAN |
| Indiana | Other | P01518955 | MEDICARE PTAN |
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