Moushmoush, Bassam

Moushmoush, Bassam is an individual health care provider with primary practice located at 331 Laidley St Suite 331, Charleston WV 25301-1619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Moushmoush, Bassam can be contacted via phone (304) 347-2042.

Contact Information

Primary practice address
331 Laidley St Suite 331 Charleston WV 25301-1619
Phone: (304) 347-2042
Fax: (304) 347-2091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 16432 West Virginia

Profile Details

NPI number 1619961232
LBN Legal business name Moushmoush, Bassam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Jul 8th, 2007 - about 19 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 1619961232 NPPES
West Virginia MEDICAID 0073986000

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