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Organization
BAHJAT F GHANEM MD PA
Active
Organization
BAHJAT F GHANEM MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAHJAT F GHANEM MD (PRESIDENT)
(305) 822-5964
Entity
Organization
Contact information
Practice address
1800 W 49TH ST, SUITE 114, HIALEAH, FL 33012-2900
(305) 822-5964
(305) 822-0058
Mailing address
1800 W 49TH ST, SUITE 114, HIALEAH, FL 33012-2900
(305) 822-5964
(305) 822-0058
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0066087
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373630000
—
FL
Enumeration date
07/02/2006
Last updated
11/08/2008
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