Hisham I Bassiouni in Myrtle Beach - Physician Assistant
Hisham I Bassiouni - NPI 1205883105
Hisham I Bassiouni is a Physician Assistant in Myrtle Beach, South Carolina. Hisham I Bassiouni practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Hisham I Bassiouni is 1205883105. The last update date is 2021-08-09.
Hisham I Bassiouni's current location address is 5046 Highway 17 Byp S Ste 103, Myrtle Beach, South Carolina. You can contact this provider via phone number 8436684104. The mailing address for Hisham I Bassiouni is 5046 Highway 17 Byp S Ste 103, Myrtle Beach, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Hisham I Bassiouni |
|---|---|
| Address | 5046 Highway 17 Byp S Ste 103, Myrtle Beach, South Carolina |
| Phone Number | 8436684104 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1205883105 |
|---|---|
| Provider Enumeration Date | 2006-05-27 |
| Last Updated Date | 2021-08-09 |
Provider Mailing Address Detail
| Address | 5046 Highway 17 Byp S Ste 103 |
|---|---|
| City | Myrtle Beach |
| State | South Carolina (SC) |
| Post Code | 295884503 |
| Phone Number | 8436684104 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 50001725 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00385946 | RR ERIE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Hisham I Bassiouni?
The Hisham I Bassiouni has been issued the NPI (National Provider Identifier) 1205883105 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Hisham I Bassiouni located?
The Hisham I Bassiouni is located at 5046 Highway 17 Byp S Ste 103, Myrtle Beach, SC 295884503.
What is Hisham I Bassiouni's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Hisham I Bassiouni is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205883105 to Hisham I Bassiouni?
The Centers for Medicare & Medicaid Services originally issued the 1205883105 to Hisham I Bassiouni on 2006-05-27.
When was the Hisham I Bassiouni's information last updated?
The Hisham I Bassiouni's information was last updated on 2021-08-09.