1891440699 NPI number — MR. HUSSAM ABDULHAMID O BUKHARI MBBS

Table of content: ECHO SHERRY NEILL DNP FNP (NPI 1043101025)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891440699 NPI number — MR. HUSSAM ABDULHAMID O BUKHARI MBBS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BUKHARI
Provider First Name:
HUSSAM
Provider Middle Name:
ABDULHAMID O
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MBBS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891440699
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/01/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
12/22/2022
NPI Reactivation Date:
03/01/2023

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
910 W 10TH AVE, VANCOUVER GENERAL HOSPITAL RM
Provider Second Line Business Mailing Address:
1400 DEPARTMENT OF PATHOLOGY
Provider Business Mailing Address City Name:
VANCOUVER
Provider Business Mailing Address State Name:
BRITISH COLUMBIA
Provider Business Mailing Address Postal Code:
V5Z 1M9
Provider Business Mailing Address Country Code:
CA
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5323 HARRY HINES BLVD
Provider Second Line Business Practice Location Address:
MC 9073
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75390
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-648-4088
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/21/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X , registered in the state of NULL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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