Individual
BASIL SOHAIL BANGASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 FAIR RD STE 600, STATESBORO, GA 30458-0800
(912) 681-4911
(912) 681-6911
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7211
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA10893900
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
98357
GA
207RP1001X
Pulmonary Disease Physician
Primary
98357
GA
Other
Enumeration date
06/18/2017
Last updated
11/04/2025
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