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Bashar Bouso, MD
Specialist in Lawrenceburg, Indiana
NPI 1609883727

Bashar Bouso is a Specialist based in Lawrenceburg, IN. Bashar Bouso practices in Lawrenceburg, IN and has the professional credentials of MD. The NPI Number for Bashar Bouso is 1609883727 and holds a License No. 01042855A (Indiana).

The current practice location address for Bashar Bouso is 202 Walnut St, Lawrenceburg, IN and can be reached out via phone at 812-539-2142 and via fax at 812-539-3920.

Location: 202 Walnut St, Lawrenceburg, IN, 47025-1840
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609883727
Provider Name
Bashar Bouso
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
202 Walnut St, Lawrenceburg, IN, 47025-1840
Phone Number
812-539-2142
Fax Number
812-539-3920
Provider Enumeration Date
08/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100464610A 05 IN
institution
Provider Business Practice Location Address Details
Address
202 Walnut St
City
Lawrenceburg
State
Indiana
Zip
47025
Phone Number
812-539-2142
Fax Number
812-539-3920
person
Provider Business Mailing Address Details
Address
202 Walnut St
City
Lawrenceburg
State
Indiana
Zip
47025
Phone Number
812-539-2142
Fax Number
812-539-3920
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
01042855A (Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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