Bahou, Wadie
Bahou, Wadie is an individual health care provider with primary practice located at University Hospital, L5 , Stony Brook NY 11794. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Bahou, Wadie can be contacted via phone (631) 444-2540.Contact Information
Primary practice address
University Hospital, L5
Stony Brook NY 11794
Phone: (631) 444-2540
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 153826 | New York |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 153826 | New York |
Profile Details
| NPI number | 1891720702 |
|---|---|
| LBN Legal business name | Bahou, Wadie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Apr 27th, 2022 - about 4 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 | 1891720702 | NPPES |
| New York | Other | 44F88 | EMPIRE BC.BS |
| New York | Other | 4621740 | EMPIRE BC.BS |
| New York | MEDICAID | 00785222 | EMPIRE BC.BS |
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