Individual
BASSEM MIKHAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 231-3228
(573) 231-3758
Mailing address
100 MEDICAL DR, PO BOX 311, HANNIBAL, MO 63401-6877
(573) 231-3228
(573) 231-3758
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
2003011832
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209100114
—
MO
Enumeration date
01/18/2006
Last updated
01/02/2014
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