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NPI Code Detail

MEDICARE: THABIT M BAHHUR M.D.

MEDICARE: THABIT M BAHHUR M.D.
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
1207P00000XEmergency Medicine Physician4301046404MI
2207PE0004XEmergency Medical Services (Emergency Medicine) PhysicianME0090978FL
3208D00000XGeneral Practice Physician4301046404MI
4207P00000XEmergency Medicine Physician0101036147VA

General Provider Information

NPI Number : 1952385668
Entity Type Code : Individual
Provider Name (Legal Business Name) : THABIT M BAHHUR M.D.
Provider Business Mailing Address
First Line : 13 MOSS ST S
Second Line :
City : MARTINSVILLE
State : VA
Zip : 24112-2639
Country : US
Telephone Number : 810-434-4144
Fax Number :
Provider Business Practice Location Address
First Line : 320 HOSPITAL DR
Second Line :
City : MARTINSVILLE
State : VA
Zip : 24112-1900
Country : US
Telephone Number : 276-666-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2005
Last Update Date : 05/05/2025

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