MUTHALIB M CASSIM MD

PROVIDENCE HEALTH AND SERVICES OREGON

Dr MUTHALIB M CASSIM MD is a male medical professional, specializing in General Surgery. He graduated in 1968.

Contact

PROVIDENCE HEALTH AND SERVICES OREGON

725 S WAHANNA RD
SEASIDE
OR
971387735

Tel: 5037177000

MUTHALIB M CASSIM MD Information

Npi 1790856953
Pac Id 5092768085
Professional Enrollment Id I20050302000505
Last Name CASSIM
First Name MUTHALIB
Middle Name M
Suffix
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1968
Primary Specialty GENERAL SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROVIDENCE HEALTH AND SERVICES OREGON
Group Practice Pac Id 1557260106
Number Of Group Practice Members 49
Line 1 Street Address 725 S WAHANNA RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SEASIDE
State OR
Zip Code 971387735
Phone Number 5037177000
Hospital Affiliation Ccn 1 381303
Hospital Affiliation Lbn 1 PROVIDENCE SEASIDE HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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