1922853050 NPI number — DR. FAHAD BUSKANDAR MB BCH BAO, FRCPC

Table of content: DR. FAHAD BUSKANDAR MB BCH BAO, FRCPC (NPI 1922853050)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922853050 NPI number — DR. FAHAD BUSKANDAR MB BCH BAO, FRCPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BUSKANDAR
Provider First Name:
FAHAD
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MB BCH BAO, FRCPC
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:
1922853050
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/22/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
763 BAY ST
Provider Second Line Business Mailing Address:
LPH4
Provider Business Mailing Address City Name:
TORONTO
Provider Business Mailing Address State Name:
ONTARIO
Provider Business Mailing Address Postal Code:
M5G2R3
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:
763 BAY ST
Provider Second Line Business Practice Location Address:
LPH4
Provider Business Practice Location Address City Name:
TORONTO
Provider Business Practice Location Address State Name:
ONTARIO
Provider Business Practice Location Address Postal Code:
M5G2R3
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
416-877-7991
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/22/2024

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 ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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