1841402450 NPI number — AHMAD ABDALLAH BASHIR MD, FACS, FASMBS

Table of content: AHMAD ABDALLAH BASHIR MD, FACS, FASMBS (NPI 1841402450)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841402450 NPI number — AHMAD ABDALLAH BASHIR MD, FACS, FASMBS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BASHIR
Provider First Name:
AHMAD
Provider Middle Name:
ABDALLAH
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD, FACS, FASMBS
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:
1841402450
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/11/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
JORDAN HOSPITAL MEDICAL CENTER
Provider Second Line Business Mailing Address:
GBMC- JORDAN HOSPITAL MEDICAL CENTER, 29 ADIB WAHBEH ST
Provider Business Mailing Address City Name:
AMMAN
Provider Business Mailing Address State Name:
N/A
Provider Business Mailing Address Postal Code:
11152
Provider Business Mailing Address Country Code:
JO
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:
GBMC- JORDAN HOSPITAL MEDICAL CENTER, 29 ADIB WAHBEH ST
Provider Second Line Business Practice Location Address:
SECOND FLOOR, SUITE 7
Provider Business Practice Location Address City Name:
AMMAN
Provider Business Practice Location Address State Name:
N/A
Provider Business Practice Location Address Postal Code:
11152
Provider Business Practice Location Address Country Code:
JO
Provider Business Practice Location Address Telephone Number:
6-560-9067
Provider Business Practice Location Address Fax Number:
6-565-6057
Provider Enumeration Date:
05/04/2007

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: 208600000X , with the licence number:  P18205 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208600000X , with the licence number: A108814 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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