Individual
BASSAM A. BASSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 CENTER STREET, STE 2S, MOBILE, AL 36604-1512
(251) 660-5108
(251) 660-5792
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 660-5108
(251) 660-5792
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
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