Individual
BASSAM GHANEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 HAALAND DR STE 101, THOUSAND OAKS, CA 91361-5230
(805) 496-2949
(805) 204-4076
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A97459
CA
207RX0202X
Medical Oncology Physician
A97459
CA
Other
Enumeration date
09/22/2006
Last updated
03/23/2022
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