Individual
ADAM BASHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2520 ROBERT JONES WAY, KALAMAZOO, MI 49009-1904
(269) 375-0400
(269) 492-0660
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(269) 552-2823
(269) 552-2964
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101028757
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023759214
—
MI
Enumeration date
04/05/2022
Last updated
11/21/2025
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