Individual
BASSAM MUSHANNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20823
AL
207RC0000X
Cardiovascular Disease Physician
Primary
20823
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000075557
—
AL
01
—
51075557
BCBS
AL
Enumeration date
05/01/2006
Last updated
06/09/2008
Update your record
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