Provider Demographics
NPI:1336384239
Name:EL BAHESH, MUHAMMAD H. MD,PC
Entity type:Organization
Organization Name:EL BAHESH, MUHAMMAD H. MD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:H
Authorized Official - Last Name:EL BAHESH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-593-3404
Mailing Address - Street 1:601B CORLEY AVE
Mailing Address - Street 2:
Mailing Address - City:BOAZ
Mailing Address - State:AL
Mailing Address - Zip Code:35957-5957
Mailing Address - Country:US
Mailing Address - Phone:256-593-3404
Mailing Address - Fax:256-593-0108
Practice Address - Street 1:601B CORLEY AVE
Practice Address - Street 2:
Practice Address - City:BOAZ
Practice Address - State:AL
Practice Address - Zip Code:35957-5957
Practice Address - Country:US
Practice Address - Phone:256-593-3404
Practice Address - Fax:256-593-0108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-05
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty