Healthcare Provider Details

I. General information

NPI: 1922431550
Provider Name (Legal Business Name): HOSAMELDIN MOHAMED BEBARS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2013
Last Update Date: 08/06/2024
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 SAM PERRY BLVD
FREDERICKSBURG VA
22401-4453
US

IV. Provider business mailing address

500 GYPSY LN
YOUNGSTOWN OH
44504-1315
US

V. Phone/Fax

Practice location:
  • Phone: 540-741-1100
  • Fax:
Mailing address:
  • Phone: 571-533-5351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number0101265218
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: