Bahjat F Ghanem MD PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0066087 Issued in FL

Legal business name

BAHJAT F GHANEM MD PA

Practice address

1800 W 49TH St
Suite 114
Hialeah, FL 33012-2900

Phone

(305) 822-5964

Fax

(305) 822-0058

NPI assigned

Jul 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bahjat F Ghanem, MD

Title

President

Phone

(305) 822-5964

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226102400000",
    "number": "1326077116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W 49TH ST",
            "address_2": "SUITE 114",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122900",
            "telephone_number": "305-822-5964",
            "fax_number": "305-822-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W 49TH ST",
            "address_2": "SUITE 114",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122900",
            "telephone_number": "305-822-5964",
            "fax_number": "305-822-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAHJAT F GHANEM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2008-11-08",
        "status": "A",
        "authorized_official_last_name": "GHANEM",
        "authorized_official_first_name": "BAHJAT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-822-5964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "0066087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373630000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.