Individual
BASSAM N. BASHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 29200 SCHOOLCRAFT, LIVONIA, MI 48150
(734) 523-1050
(734) 523-2464
Mailing address
HENRY FORD HEALTH SYSTEM, 29200 SCHOOLCRAFT, LIVONIA, MI 48150
(734) 523-1050
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301031346
MI
208000000X
Pediatrics Physician
4301031346
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BB031346
CHAMPUS-CHAMPUS
—
Enumeration date
01/04/2007
Last updated
09/11/2025
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