Provider Demographics
NPI:1538114830
Name:BIBI, ZOUHAIR (MD)
Entity type:Individual
Prefix:DR
First Name:ZOUHAIR
Middle Name:
Last Name:BIBI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2376 CYPRESS CIR STE 202
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-8994
Mailing Address - Country:US
Mailing Address - Phone:843-234-9700
Mailing Address - Fax:843-234-6896
Practice Address - Street 1:2376 CYPRESS CIR STE 202
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-8994
Practice Address - Country:US
Practice Address - Phone:843-234-9700
Practice Address - Fax:843-234-6896
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY40781207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY2807559000OtherPASSPORT ADVANTAGE
KY000000507013OtherANTHEM
KY50013622OtherPASSPORT
KY50013622OtherPASSPORT
KYF87437Medicare UPIN
KY50013622OtherPASSPORT