Individual
BASSAM A. BASSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
12186
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000015124
—
AL
05
—
00018039
—
MS
01
—
05-10119
UNITED HEALTHCARE
AL
05
—
1140155
—
LA
05
—
255578600
—
FL
01
—
51015124
BCBS
AL
Enumeration date
05/08/2006
Last updated
02/22/2017
Update your record
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