Individual
DR. BASSEM ADIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4525 LAFAYETTE RD STE A, INDIANAPOLIS, IN 46254-2011
(317) 821-7346
(877) 958-9065
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(844) 630-0700
(877) 374-1924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33306
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000046044
BC/BS
KY
01
—
10801935
CAQH PROVIDER ID
KY
01
—
110188405
RAILROAD MEDICARE
KY
01
—
3565
TRICARE
KY
01
—
64001738
KMAP
KY
05
—
64001738
—
KY
Enumeration date
10/13/2006
Last updated
05/07/2026
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