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Individual
MARK E BASIRATMAND
Active
Individual
MARK E BASIRATMAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
345760
NY
363LF0000X
Family Nurse Practitioner
Primary
95008086
CA
Other
Enumeration date
12/12/2017
Last updated
04/27/2026
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