Individual
JOUD GHASSOUB DIB
Active
Individual
JOUD GHASSOUB DIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
36972
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0749192
—
IA
01
—
30680
WELLMARK HEALTH CARE
—
01
—
421417307M4
JOHN DEERE HEALTH CARE
—
Enumeration date
12/20/2006
Last updated
03/15/2022
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