Organization
AJ BARHOUSH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDUL JABBAR BARHOUSH MD (PERSIDENT)
(352) 732-3036
Entity
Organization
Contact information
Practice address
1054 SW 1ST AVE, OCALA, FL 34471-0921
(352) 732-3603
(352) 732-6447
Mailing address
1054 SW 1ST AVE, OCALA, FL 34471-0921
(352) 732-3603
(352) 732-6447
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME21215
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053996100
—
FL
01
—
42103
MEDICARE ID
—
Enumeration date
08/12/2011
Last updated
08/12/2011
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