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Contact Information

BASSAM GHABACH, MD
1500 S MAIN ST
FORT WORTH, TX76104-4917
 Phone: 817-927-3941
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BASSAM GHABACH · (Male)

NPI # 1245374180
Status Active
Credentials MD
Entity Individual
Enumeration date 02/16/2007
Last updated 10/29/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 04-35498
  • OK License # 25355
  • KS Medicaid 200841860A
Hospital affiliation(s)
  • JPS HEALTH NETWORK - (Acute Care)
    1500 S MAIN ST
    FORT WORTH, TX 76104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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