Individual
BASEL SHOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2070 W RUDASILL RD STE 130, TUCSON, AZ 85704-7891
(520) 797-4468
(520) 797-4502
Mailing address
PO BOX 910221, DALLAS, TX 75391-0221
(520) 519-7700
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
66118
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66118
AZ MEDICAL LICENSE
AZ
Enumeration date
04/20/2016
Last updated
04/20/2022
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