Basel Imam M.D.

NPI 1245573542 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1245573542
Gender Male
Enumeration Date 04/04/2013
Last Updated 04/04/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
2601 E ROOSEVELT ST
PHOENIX AZ, 85008-4973, US
Phone (602) 366-5011
Fax
Business Location
2525 N 27TH ST
PHOENIX AZ, 85008-1914, US
Phone (480) 375-5239
Fax
Toxanomy
Taxonomy Code 207V00000X
License State Arizona
License Number 000000
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According to our database, Basel Imam M.D. NPI is 1245573542, taxonomy code is 207V00000X and license number is 000000, license state is located at Arizona. Basel Imam M.D. physically located at 2601 E Roosevelt St, Phoenix AZ, 85008-4973. NPI Number Basel Imam M.D. has the Individual type.

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1245573542 NPI number is provided on an as is basis without warranty of any kind. 1245573542 is maintained by the National Plan & Provider Enumeration System. The contents of Basel Imam M.D. are for informational purposes only.