Provider Demographics
NPI:1548266844
Name:KASSEM, BACHAR (MD)
Entity type:Individual
Prefix:DR
First Name:BACHAR
Middle Name:
Last Name:KASSEM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:520 TECHWOOD DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40422-8500
Mailing Address - Country:US
Mailing Address - Phone:859-936-9844
Mailing Address - Fax:859-236-0320
Practice Address - Street 1:95 BOGLE OFFICE PARK DR
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-2810
Practice Address - Country:US
Practice Address - Phone:606-677-1451
Practice Address - Fax:606-678-0814
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY36765207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1148069OtherPASSPORT
KY611277847OtherCHA
KY830007401OtherRAILROAD MEDICARE
KY611277847OtherCIGNA
KY87100OtherCOVENTRYCARES OF KENTUCKY
KY023379600OtherFEDERAL BLACK LUNG
KYG08338OtherBLUEGRASS FAMILY HEALTH
KY611277847COtherHUMANA
KY5038528OtherAETNA
KY64035686Medicaid
KY000000201673OtherANTHEM BC/BS
KY5038528OtherAETNA
KY611277847COtherHUMANA
KY0546406Medicare PIN
KY0510206Medicare PIN
KY0783203Medicare PIN
KY000000201673OtherANTHEM BC/BS
KY611277847OtherCIGNA
KY0985906Medicare PIN