Individual
WASEEM BARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
610 N MICHIGAN ST STE 400, SOUTH BEND, IN 46601-1081
(574) 647-8120
(574) 647-8111
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-1840
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01094768A
IN
207RI0011X
Interventional Cardiology Physician
Primary
01094768A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300099148
—
IN
Enumeration date
07/09/2009
Last updated
04/17/2025
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