Individual
DR. KHALID BASHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
23165
NE
207RN0300X
Nephrology Physician
36257
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098684
MEDICARE PTAN
NE
01
—
41453
MEDICARE PTAN
IA
Enumeration date
08/18/2006
Last updated
07/26/2021
Update your record
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