# BASEM MOURAD LABIB MISHRIKY

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

## Provider details

- **NPI number:** 1326486465
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 2017-00499 | NC | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 87142 | SC | Yes |

## Other

- **Enumeration date:** 06/11/2013
- **Last updated:** 08/02/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1326486465 | — | NC |
| 01 | — | 19QHE | BCBS | NC |
| 01 | — | NCX458A | MEDICARE | NC |