Individual
ANDRE P BOUHASIN
Active
Individual
ANDRE P BOUHASIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2004002409
MO
207RI0011X
Interventional Cardiology Physician
Primary
2004002409
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124884
BLUE CROSS
MO
05
—
206138802
—
MO
01
—
426403
HEALTHLINK
MO
01
—
947071631
MERCY HEALTH
MO
Enumeration date
06/12/2006
Last updated
12/03/2025
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