# AJ BARHOUSH MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972882538
- **Authorized official:** DR. ABDUL JABBAR BARHOUSH MD (PERSIDENT)
- **Authorized official phone:** (352) 732-3036

## Contact information

- **Practice address:** 1054 SW 1ST AVE, OCALA, FL 34471-0921
- **Practice address phone:** (352) 732-3603
- **Practice address fax:** (352) 732-6447
- **Mailing address:** 1054 SW 1ST AVE, OCALA, FL 34471-0921
- **Mailing address phone:** (352) 732-3603
- **Mailing address fax:** (352) 732-6447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | ME21215 | FL | Yes |

## Other

- **Enumeration date:** 08/12/2011
- **Last updated:** 08/12/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 053996100 | — | FL |
| 01 | — | 42103 | MEDICARE ID | — |