Individual provider · Type 1 NPI

Mounir Wadih Bousaab, MD

Student in an Organized Health Care Education/Training Program · Miami, FL

NPI number 1174469167 Active

Practice location

1611 NW 12th Ave
Miami, FL 33136-1005

Call (305) 355-1122 Map

Mailing address

232 Hidden Bay Dr Unit 403
Osprey, FL 34229-8100

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174469167

Mounir Wadih Bousaab, MD's National Provider Identifier is 1174469167, issued on Apr 24, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Miami, FL. The record was last updated on Apr 24, 2026.