Individual
BASSEL KISSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1505 N SWAN RD STE 121, TUCSON, AZ 85712-4044
(520) 795-3090
(520) 795-3537
Mailing address
1505 N SWAN RD STE 121, TUCSON, AZ 85712-4044
(520) 795-3090
(520) 795-3537
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
37200
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116332
MEDICARE
AZ
05
—
227902
—
AZ
Enumeration date
06/06/2007
Last updated
08/28/2024
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