Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bashar Fahoum, MD

Individual provider Surgery Physician · NPI 1053486985

Bashar Fahoum, MD is a General Surgery in Brooklyn, New York. Qualified in 1987, 39 years ago. Practices with Kings Physician Services PC, a 645-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
39
Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

506 6th St Dept OF Surgery
Brooklyn, NY 11215-3609
Phone: (718) 780-3288
Fax: (718) 780-3154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence 192383 (NY)
Surgery Physician Taxonomy 208600000X · Licence 192383 (NY)

Record details

NPI number1053486985
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 24, 2006
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024
Mailing address270 Flagg Pl, Staten Island, NY 10304-1134

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Kings Physician Services Pc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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