Doctor Name: | DR. YOUSSEF Y BAKHOUM |
NPI Number: | 1285908707 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A41373 |
Business Practice Address: | 1837 W Dorothea Ave Visalia, CA - 932777363 |
Business Phone Number: | 5596368071 |
Business Fax Number: | |
Mailing Address: | Po Box 3730, VISALIA |
State: | CA |
Postal Code: | 932783730 |
Phone Number: | 5596368071 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2012 |
NPI Last Update Date: | 03/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A41373 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |