Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HISHAM IBRAHIM BASSIOUNI, PAC
ActivePhysician Assistant · MYRTLE BEACH, SC
Registration Details
- NPI Number
- 1205883105
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 27, 2006 (19.915461111865 yrs)
- Last Updated
- Apr 8, 2025
- Licenses
-
50001725 (OH)PA3422 (SC)
Practice Information
- Address
-
5046 HIGHWAY 17 BYP S STE 103MYRTLE BEACH, SC, 295884503Browse SC providers · Browse ZIP 29588
- Phone
- 8436684104
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in MYRTLE BEACH, SC
| Name | Credential | NPI |
|---|---|---|
| MRS. ASHLEY SMITH WILSON | P.A. | 1487655106 |
| RANDALL PAUL GROVE | PA | 1619969250 |
| MRS. ROBERTA RAE ALSWORTH | PA-C | 1790775385 |
| MRS. TRACY REYMORE BLACK | PA-C | 1033181193 |
| JOSEPH K BETHLE | PAC | 1235195850 |
| MR. JEFFREY THOMAS WEEDEN | P.A. | 1972539286 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.