Individual
ABDUL G BAHRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1031 N FLOWOOD DR, FLOWOOD, MS 39232-9533
(601) 487-7445
(601) 487-7446
Mailing address
1031 N FLOWOOD DR, FLOWOOD, MS 39232-9533
(601) 487-7445
(601) 487-7446
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
16080
MS
207RI0011X
Interventional Cardiology Physician
Primary
16080
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120721
—
MS
05
—
1543012
—
LA
01
—
7580087
AETNA
MS
Enumeration date
06/23/2006
Last updated
11/30/2022
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