Provider Demographics
NPI:1518971753
Name:CHAHINE, BASSEM GEORGE (MD)
Entity Type:Individual
Prefix:DR
First Name:BASSEM
Middle Name:GEORGE
Last Name:CHAHINE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8740 N KENDALL DR
Mailing Address - Street 2:SUITE # 215
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2212
Mailing Address - Country:US
Mailing Address - Phone:305-270-1073
Mailing Address - Fax:866-982-8070
Practice Address - Street 1:8740 N KENDALL DR
Practice Address - Street 2:SUITE # 215
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2212
Practice Address - Country:US
Practice Address - Phone:305-270-1073
Practice Address - Fax:866-982-8070
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME98543207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL272708907OtherTRICARE
FLPENDINGMedicaid
FL149SYOtherBLUE CROSS BLUE SHIELD OF FLORIDA
FLDO523ZMedicare PIN