1427731306 NPI number — ANAN BSEISO

Table of content: ANAN BSEISO (NPI 1427731306)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427731306 NPI number — ANAN BSEISO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BSEISO
Provider First Name:
ANAN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
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:
1427731306
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/08/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3000 ARLINGTON AVENUE
Provider Second Line Business Mailing Address:
ROOM 0136 C, MAIN HOSPITAL BUILDING, MAIL STOP 1068
Provider Business Mailing Address City Name:
TOLEDO
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43614-2598
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-383-3474
Provider Business Mailing Address Fax Number:
419-383-6183

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3000 ARLINGTON AVENUE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PATHOLOGY
Provider Business Practice Location Address City Name:
TOLEDO
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43614-2598
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
219-306-3279
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/08/2023

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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