Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | ME149590 | FL |
NPI | 1124282280 |
---|---|
Provider Name | Bahaa Aldeen Kaseer |
First Address | Brandon, FL 33511-5908 |
Second Address | New Bedford, MA 02740-3464 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2008 |
Last Update Date | 07/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110072422A | (05) | MA |
1124282280 | (05) | RI |
S400216450 | (02) | MA |