Bassam Mushannen MD

NPI 1013974179 - Internal Medicine - 207R00000X

NPI Details
NPI 1013974179
Gender Male
Enumeration Date 05/01/2006
Last Updated 06/09/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
1060 FAIRFAX PARK
STE B
TUSCALOOSA AL, 35406, US
Phone (205) 758-6471
Fax (205) 758-6472
Business Location
2760 LAKE CREST DR
TUSCALOOSA AL, 35406, US
Phone (205) 752-9117
Fax (205) 758-6472
Toxanomy
Taxonomy Code 207R00000X
License State Alabama
License Number 20823
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According to our database, Bassam Mushannen MD NPI is 1013974179, taxonomy code is 207R00000X and license number is 20823, license state is located at Alabama. Bassam Mushannen MD physically located at 1060 Fairfax Park, Tuscaloosa AL, 35406. NPI Number Bassam Mushannen MD has the Individual type.

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1013974179 NPI number is provided on an as is basis without warranty of any kind. 1013974179 is maintained by the National Plan & Provider Enumeration System. The contents of Bassam Mushannen MD are for informational purposes only.