Individual
AHMAD BASSEL SHUGHOURY
Active
Individual
AHMAD BASSEL SHUGHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01059363A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000346359
ANTHEM BC/BS
IN
05
—
200108230A
—
IN
01
—
9115389
ANTHEM BC/BS
IN
01
—
P00204531
RAILROAD MEDICARE
IN
Enumeration date
06/01/2005
Last updated
05/05/2020
Update your record
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