Provider Demographics
NPI:1891440699
Name:BUKHARI, HUSSAM ABDULHAMID O (MBBS)
Entity Type:Individual
Prefix:MR
First Name:HUSSAM
Middle Name:ABDULHAMID O
Last Name:BUKHARI
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 W 10TH AVE, VANCOUVER GENERAL HOSPITAL RM
Mailing Address - Street 2:1400 DEPARTMENT OF PATHOLOGY
Mailing Address - City:VANCOUVER
Mailing Address - State:BRITISH COLUMBIA
Mailing Address - Zip Code:V5Z 1M9
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5323 HARRY HINES BLVD
Practice Address - Street 2:MC 9073
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390
Practice Address - Country:US
Practice Address - Phone:214-648-4088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-21
Last Update Date:2023-03-01
Deactivation Date:2022-12-22
Deactivation Code:
Reactivation Date:2023-03-01
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program