Individual
BASSEL ARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3900 ST FRANCIS WAY STE 200, LAFAYETTE, IN 47905-4940
(765) 775-2800
(765) 775-2831
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125051166
IL
207RC0000X
Cardiovascular Disease Physician
Primary
01073078A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036123290
—
IL
05
—
201188270
—
IN
01
—
471400133
MEDICARE IN
IN
Enumeration date
04/09/2008
Last updated
02/16/2023
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