Shughoury, Ahmad Bassel

Shughoury, Ahmad Bassel is an individual health care provider with primary practice located at 8895 Broadway , Merrillville IN 46410-7037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Shughoury, Ahmad Bassel can be contacted via phone (219) 738-2081.

Contact Information

Primary practice address
8895 Broadway Merrillville IN 46410-7037
Phone: (219) 738-2081
Fax: (219) 736-4658
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 01059363A Indiana

Profile Details

NPI number 1356343578
LBN Legal business name Shughoury, Ahmad Bassel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated May 5th, 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 1356343578 NPPES
Indiana Other 9115389 ANTHEM BC/BS
Indiana MEDICAID 200108230A ANTHEM BC/BS
Indiana Other P00204531 ANTHEM BC/BS
Indiana Other 000000346359 ANTHEM BC/BS

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