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General NPI Number Information
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NPI Number | 1588970727
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Entity Type | Individual
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Provider Name | BASHAR SUHAIL HMOUD M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 09/18/2020
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Provider Practice Location Address
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Address Line | 6255 INKSTER RD STE 104
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City | GARDEN CITY
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State | MI
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Zip | 48135-2538
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Country | US
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Telephone | 248-590-0202
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Fax | 248-590-0278
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Provider Business Mailing Address
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Address Line | PO BOX 3272
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City | SAGINAW
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State | MI
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Zip | 48605-3272
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Country | US
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Telephone | 989-797-1400
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Fax | 989-797-4077
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 4301112016
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License Number State | MI
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