Individual
MOHSEN S. BAHNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 N. MAIN STREET, KENANSVILLE, NC 28349
(910) 296-0941
(910) 296-2034
Mailing address
5813 GLENFIDDICH WAY, RALEIGH, NC 27613-6032
(919) 845-0666
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9800181
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1158W
BLUECROSS BLUESHIELD
NC
05
—
891158W
—
NC
Enumeration date
02/23/2006
Last updated
07/08/2007
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