Provider Demographics
NPI:1710006820
Name:CHEHAB, BASSEM MOUNIR (MD)
Entity type:Individual
Prefix:DR
First Name:BASSEM
Middle Name:MOUNIR
Last Name:CHEHAB
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 1:848 N SAINT FRANCIS AVE STE 3901
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-3858
Mailing Address - Country:US
Mailing Address - Phone:316-268-7030
Mailing Address - Fax:316-779-2227
Practice Address - Street 1:848 N SAINT FRANCIS AVE STE 3901
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-3858
Practice Address - Country:US
Practice Address - Phone:316-268-7030
Practice Address - Fax:316-779-2227
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-33223207R00000X, 207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology