# NABIL BASHA, M.D., P.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417170424
- **Authorized official:** NABIL BASHA M.D. (PRESIDENT AND SOLE OWNER)
- **Authorized official phone:** (606) 789-7040

## Contact information

- **Practice address:** 713 BROADWAY ST, PAINTSVILLE, KY 41240-1465
- **Practice address phone:** (606) 789-7040
- **Practice address fax:** (606) 789-3035
- **Mailing address:** PO BOX 707, PAINTSVILLE, KY 41240-0707
- **Mailing address phone:** (606) 789-7040
- **Mailing address fax:** (606) 789-3035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086H0002X | Hospice and Palliative Medicine (Surgery) Physician | 19712 | KY | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 08/22/2020