Provider Demographics
NPI:1255537072
Name:BAHU, RAMZI MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:RAMZI
Middle Name:MICHAEL
Last Name:BAHU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6611 ROSY BARB CT
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-5857
Mailing Address - Country:US
Mailing Address - Phone:941-753-3344
Mailing Address - Fax:
Practice Address - Street 1:6611 ROSY BARB CT
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-5857
Practice Address - Country:US
Practice Address - Phone:941-753-3344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME92551207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILD13974Medicare UPIN