Individual
HASSAN BUSHEHRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1328 SOUTHERN AVE SE, SUITE 201, WASHINGTON, DC 20032-4689
(202) 563-2200
Mailing address
1328 SOUTHERN AVE SE, SUITE 201, WASHINGTON, DC 20032-4689
(202) 563-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0016489
MD
207R00000X
Internal Medicine Physician
MD6679
DC
207RN0300X
Nephrology Physician
D0016489
MD
207RN0300X
Nephrology Physician
Primary
MD6679
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38560001
CAREFIRST BCBS
DC
01
—
4050962
AETNA
DC
Enumeration date
05/03/2006
Last updated
10/25/2007
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