Individual
DR. MOTASEM AFYOUNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 E DOUGLAS, SUITE 309, MISHAWAKA, IN 46545-1467
(574) 335-6232
(574) 335-0776
Mailing address
PO BOX 6309, SOUTH BEND, IN 46660-6309
(574) 335-8700
(574) 335-0741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01065534A
IN
208M00000X
Hospitalist Physician
01065534A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000219523
BCBS IMA
IN
01
—
000000581807
BCBS
IN
01
—
000000711085
BCBS
IN
01
—
000000919573
BCBS PLYMOUTH
IN
05
—
200914550
—
IN
Enumeration date
04/28/2008
Last updated
08/10/2015
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