Provider Demographics
NPI:1770812125
Name:BUKHARI, HASSAN (MD)
Entity type:Individual
Prefix:
First Name:HASSAN
Middle Name:
Last Name:BUKHARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HASSAN
Other - Middle Name:
Other - Last Name:BUKHARI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:HASSAN BUKHARI
Mailing Address - Street 1:1750 N BAYSHORE DR
Mailing Address - Street 2:UNIT 3602
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33132-3203
Mailing Address - Country:US
Mailing Address - Phone:305-588-1933
Mailing Address - Fax:
Practice Address - Street 1:1611 NW 12TH AVE
Practice Address - Street 2:UNIT 3602 1750 N BAYSHORE DRIVE
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-585-1293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-14
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program