Provider Demographics
NPI:1790019032
Name:BARSOUM, ADIB H (MD)
Entity Type:Individual
Prefix:DR
First Name:ADIB
Middle Name:H
Last Name:BARSOUM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:575 LINCOLN AVENUE
Mailing Address - Street 2:SUITE LL1
Mailing Address - City:BELLEVUE
Mailing Address - State:PA
Mailing Address - Zip Code:15202-3550
Mailing Address - Country:US
Mailing Address - Phone:412-734-1100
Mailing Address - Fax:412-734-5885
Practice Address - Street 1:575 LINCOLN AVENUE
Practice Address - Street 2:SUITE LL1
Practice Address - City:BELLEVUE
Practice Address - State:PA
Practice Address - Zip Code:15202-3550
Practice Address - Country:US
Practice Address - Phone:412-734-1100
Practice Address - Fax:412-734-5885
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-18
Last Update Date:2019-04-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD029181L207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery