Individual
MR. MOHAMMAD BASHAR MOURAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9355 WARRICK TRL, NEWBURGH, IN 47630-0015
(270) 689-1919
(270) 689-1990
Mailing address
PO BOX 5705, EVANSVILLE, IN 47716-5705
(812) 492-1960
(270) 689-1990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32887
KY
207RN0300X
Nephrology Physician
Primary
32887
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000210578
ANTHEM PIN
IN
01
—
000000210578
ANTHEM PIN
KY
05
—
200367690
—
IN
05
—
64328875
—
KY
01
—
CJ7612
RAILROAD MEDICARE
IN
01
—
CJ7612
RAILROAD MEDIARE
KY
Enumeration date
07/06/2005
Last updated
07/20/2022
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