Individual
BASHAR M MOURAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
301 E 17TH ST STE 550, NEW YORK, NY 10003
(212) 598-6422
Mailing address
150 E 42ND ST FL 9, NEW YORK, NY 10017-5699
(646) 605-8188
(212) 523-7410
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
290805
NY
207RP1001X
Pulmonary Disease Physician
290805
NY
Other
Enumeration date
04/07/2012
Last updated
03/03/2021
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