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NPI Code Detail

MEDICARE: CAROLINE BASHOUR MD

MEDICARE: CAROLINE BASHOUR MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207RI0200XInfectious Disease PhysicianDR.0077857CO

General Provider Information

NPI Number : 1891499612
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINE BASHOUR MD
Provider Business Mailing Address
First Line : 12801 E 17TH AVE
Second Line :
City : AURORA
State : CO
Zip : 80045-2530
Country : US
Telephone Number : 303-724-6196
Fax Number :
Provider Business Practice Location Address
First Line : 3595 OLENTANGY RIVER RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-3440
Country : US
Telephone Number : 614-566-5456
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2023
Last Update Date : 06/17/2026

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