Individual provider · NPI-1

Bishoy M Barsoum, MD

Internal Medicine · Merrillville, IN

NPI number1659908986
StatusActive
Last updated in NPPESAug 30, 2024

Details

NPI
1659908986
Entity type
Individual (NPI-1)
Name
Bishoy M Barsoum
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 25, 2020
Certification date
Aug 30, 2024
Last updated
Aug 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine01090823AINYes

Practice location

8555 Taft St
Merrillville, IN 46410-6123

Phone 219-769-4005

Mailing address

687 1/2 Chestnut St
Kearny, NJ 07032-3014

Phone 973-961-1051

Other practice locations

201 Lyons Ave
Newark, NJ 07112-2027

Phone 973-926-7425

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