Bousamra, Alexis

Bousamra, Alexis is an individual health care provider with primary practice located at 320 E North Ave , Pittsburgh PA 15212-4756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Bousamra, Alexis can be contacted via phone (412) 359-6886.

Contact Information

Primary practice address
320 E North Ave Pittsburgh PA 15212-4756
Phone: (412) 359-6886
Fax: (412) 359-3598
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD454058 Pennsylvania

Profile Details

NPI number 1902049729
LBN Legal business name Bousamra, Alexis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2009
Last updated Oct 7th, 2020 - about 6 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 1902049729 NPPES
Ohio MEDICAID 0137384
Ohio MEDICAID 1030886790001

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