Individual
BAHJAT F GHANEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1440 NE 8TH ST, HOMESTEAD, FL 33033-4505
(305) 289-8272
(305) 938-0770
Mailing address
9000 NW 15TH ST UNIT 6, DORAL, FL 33172-2990
(786) 894-6358
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0066087
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373630000
—
FL
Enumeration date
05/08/2006
Last updated
02/11/2025
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