DR. WADIE BAHOU M.D. NPI 1891720702

NPI Information

NPI: 1891720702
Provider Name: DR. WADIE BAHOU, M.D.
Classification: Internal Medicine - 207RH0000X
Entity Type: Individual

Specialization: Hematology

Organization: STONY BROOK INTERNISTS UNIVERSITY FACULTY PRACTICE CORPORATION

PECOS Registration: Yes

Address:
UNIVERSITY HOSPITAL, L5
STONY BROOK, NY
ZIP 11794
Phone: (631) 444-2540
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DR. Wadie Bahou, M.D. is a hematology internal medicine in Stony Brook, NY with 44 years of experience. The provider is an internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. DR. Wadie Bahou, M.D. NPI is 1891720702. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduation Year:1980

The provider's business location address is:

UNIVERSITY HOSPITAL, L5
STONY BROOK, NY
ZIP 11794
Phone: (631) 444-2540

The NPI 1891720702 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0000X	Internal Medicine	Hematology	153826	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4621740	OTHER	NEW YORK	AETNA
2	E40613	MEDICARE UPIN	NEW YORK
3	00785222	MEDICAID	NEW YORK
4	44F881	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
5	44F88	OTHER	NEW YORK	EMPIRE BC.BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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