Mohammad Hisham Hout, MD | |
327 Medical Park Dr, Bridgeport, WV 26330-9006 | |
(401) 368-2486 | |
Not Available |
Full Name | Mohammad Hisham Hout |
---|---|
Gender | Male |
Speciality | Urology |
Location | 327 Medical Park Dr, Bridgeport, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508483496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | LP04882 (Rhode Island) | Secondary |
208800000X | Urology | 31773 (West Virginia) | Primary |
Entity Name | United Hospital Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760965586 PECOS PAC ID: 8123936010 Enrollment ID: O20031212000802 |
Mailing Address | Practice Location Address |
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Mohammad Hisham Hout, MD 327 Medical Park Dr, Bridgeport, WV 26330-9006 Ph: (401) 368-2486 | Mohammad Hisham Hout, MD 327 Medical Park Dr, Bridgeport, WV 26330-9006 Ph: (401) 368-2486 |
Grant L Franklin Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 135 Professional Pl, Bridgeport, WV 26330 Phone: 681-342-3595 Fax: 681-342-3598 | |
William Tuong, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 135 Professional Pl, Bridgeport, WV 26330 Phone: 681-342-3660 | |
Dr. Oluyemi Akin-olugbade, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 135 Professional Pl, Bridgeport, WV 26330 Phone: 681-342-3660 Fax: 681-342-3665 |