Individual
MENA M BAKHIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-4923
(781) 744-8000
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
207RG0100X
Gastroenterology Physician
Primary
284673
MA
207RG0100X
Gastroenterology Physician
LP03745
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XXXXXXXX
XXXXX
—
Enumeration date
03/26/2013
Last updated
02/01/2021
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