# DR. MAHMUD MOSSA-BASHA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1215139274
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085D0003X | Diagnostic Neuroimaging (Radiology) Physician | 2022-00219 | NC | Yes |
| 2085N0700X | Neuroradiology Physician | D71238 | MD | — |
| 2085N0700X | Neuroradiology Physician | MD60281860 | WA | — |
| 2085R0202X | Diagnostic Radiology Physician | 4301086401 | MI | — |

## Other

- **Enumeration date:** 06/01/2007
- **Last updated:** 04/04/2022