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BASHA DIAGNOSTICS P C NPI 1770693798


NPI Information

NPI: 1770693798
Provider Name: BASHA DIAGNOSTICS P C
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 23D2023045

Address:
30701 WOODWARD AVE
ROYAL OAK, MI
ZIP 48073
Phone: (248) 288-1600
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BASHA DIAGNOSTICS P C is a diagnostic radiology radiology in Royal Oak, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BASHA DIAGNOSTICS P C NPI is 1770693798. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30701 WOODWARD AVE
ROYAL OAK, MI
ZIP 48073-987
Phone: (248) 288-1600
Fax: (248) 288-1409

The provider's authorized official is Yahya Mossabasha .
The authorized official title is President and has the following contact phone number (248) 435-8066.

The CLIA number assigned to this NPI record is 23D2023045 - other - outpatient dx radio cntr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 10/12/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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