MOUHAMAD BAZZI


Address: 2405 Whittier Drive, Suite 100, Frederick, MD 21702-3361
Phone: 3016822988

MOUHAMAD BAZZI (NPI# 1265619878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265619878
Entity Type Individual
Full Name MOUHAMAD BAZZI
Credential MD
Practice Address 2405 Whittier Drive
Suite 100
Frederick
MD 21702-3361
Practice Telephone 3016822988
Practice Fax Number 3016822989
Mailing Telephone 3016822988
Mailing Fax Number 3016822989
Enumeration Date 2008-01-25
Last Update Date 2017-04-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine PP20574 MD Allopathic & Osteopathic Physicians
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
D0072463 MD Allopathic & Osteopathic Physicians

Office Location

Street Address 2405 WHITTIER DRIVE
SUITE 100
City FREDERICK
State MD
Zip Code 21702-3361

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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205371135 Giovanni Melillo Internal Medicine 2554 Bear Den Rd, Frederick, MD 21701-5230 2017-01-02
1457403644 Frederick Oncology Hematology Associates, P.C. Internal Medicine 46 Bthomas Johnson Drive, Suite 200, Frederick, MD 21702-4300 2007-01-17
1992871289 Sadaf Taimur Internal Medicine 46b Thomas Johnson Dr Ste 200, Frederick, MD 21702-4501 2006-11-28
1194898791 Yun W. Oh Internal Medicine 46b Thomas Johnson Dr Suite 200, Frederick, MD 21702-5104 2006-11-15
1528069226 Kanan H Hudhud Internal Medicine 46b Thomas Johnson Dr, Suite 200, Frederick, MD 21702-4300 2005-08-03
1578959615 Progressive Oncology and Hematology Center LLC Internal Medicine 915 Toll House Ave, Suite 305, Frederick, MD 21701-5930 2015-04-14
1336227628 Kenneth Alvin Bertram Internal Medicine 1434 Porter St, Barquist Army Health Clinic, Frederick, MD 21702-9210 2006-11-02
1528050473 Elhamy D. Eskander Internal Medicine 1562 Opossumtown Pike, Frederick, MD 21702-4337 2005-08-17
1174515050 Brian O'connor Internal Medicine 1562 Opossumtown Pike, Frederick, MD 21702-4337 2005-08-17
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Competitor

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City FREDERICK
Zip Code 21702

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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