Provider Demographics
NPI:1477716793
Name:ABUSNEINEH, BASEL (MD)
Entity type:Individual
Prefix:DR
First Name:BASEL
Middle Name:
Last Name:ABUSNEINEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:BASEL
Other - Middle Name:
Other - Last Name:ABU SNEINEH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1000 W MORENO ST
Mailing Address - Street 2:HOSPITALISTS
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32501-2316
Mailing Address - Country:US
Mailing Address - Phone:850-469-7406
Mailing Address - Fax:850-478-1312
Practice Address - Street 1:1000 W MORENO ST
Practice Address - Street 2:HOSPITALISTS
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-2316
Practice Address - Country:US
Practice Address - Phone:850-469-7406
Practice Address - Fax:850-478-1312
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME129496207R00000X, 208M00000X
OHNOT AVAILABLE YET207R00000X
OH35.096899207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL7B0AUOtherBCBSFL
FL018800000Medicaid
FL7B0AUOtherBCBSFL