Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | R7952 | TX |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | R7952 | TX |
NPI | 1174757892 |
---|---|
Provider Name | Dr. Mohamed Ahmed Bassiouny |
First Address | Austin, TX 78705 |
Second Address | Austin, TX 78705 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2009 |
Last Update Date | 13/08/2018 |