Bassam Ahmad Afaneh, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301058398 Issued in MI

Practice address

3925 Fortune Blvd
Saginaw, MI 48603-2287

Phone

(989) 341-5078

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michigan Health Clinics PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Saginaw, MI
  • NPI 1023185162
  NPD
• Arshad Aqil MD PLLC

  • Internal Medicine Physician
  • Caro, MI
  • NPI 1649214412
  NPD (past)
• Asthma, Allergy and Sinus Center, PC

  • Allergy Physician
  • Sandusky, MI
  • NPI 1093720740
  NPD (past)
• Covenant Pathology Associates, PC

  • Infusion Therapy Clinic/Center
  • Saginaw, MI
  • NPI 1972246478
  NPD (past)
• Michigan Health Clinics PC

  • Dermatology Physician
  • Saginaw, MI
  • NPI 1467070508
  NPD (past)
• Michigan Health Clinics PC

  • Urgent Care Clinic/Center
  • Saginaw, MI
  • NPI 1487396495
  NPD (past)
• Michigan Health Clinics PC

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1962020008
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1720008626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 FORTUNE BLVD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032287",
            "telephone_number": "989-459-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 FORTUNE BLVD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032287",
            "telephone_number": "989-341-5078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2433 Black River St",
            "address_purpose": "LOCATION",
            "city": "Deckerville",
            "state": "MI",
            "postal_code": "484279425",
            "country_code": "US",
            "telephone_number": "810-376-2885",
            "fax_number": "810-376-4537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4707 McLeod Dr E",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486042853",
            "country_code": "US",
            "telephone_number": "989-341-5078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AFANEH",
        "first_name": "BASSAM",
        "middle_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301058398",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301058398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4499667",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Diagnostic Imaging Interventional & Vascular Center
• Advanced Diagnostic Imaging PC
• Advanced First State Medical Practice PLLC
• Advanced Hospice Care LLC
• Advanced Sleep Disorder Center LLC
• Rosario Gumban Afante, PT
• Macksood Ahmad Aftab, D.O.
• Douglass T Agoabin, PHARMD
• Amanda C Aguilar I
• Natalie Nicole Aguilar

• Family Medicine Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.