Bacha, Mouna
Bacha, Mouna is an individual health care provider with primary practice located at 1173 Turner St , Clearwater FL 33756-4135. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Bacha, Mouna can be contacted via phone (727) 298-8496.Contact Information
Primary practice address
1173 Turner St
Clearwater FL 33756-4135
Phone: (727) 298-8496
Fax: (727) 445-7566
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME81788 | Florida |
Profile Details
| NPI number | 1568439941 |
|---|---|
| LBN Legal business name | Bacha, Mouna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Jul 1st, 2010 - 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 | 1568439941 | NPPES |
| Florida | MEDICAID | 262959300 |
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