Individual
DR. LIBERATO BATIN BASOBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 E BROAD ST, COLUMBUS, OH 43205-1550
(614) 252-0711
Mailing address
5679 SULLIVANT AVE, GALLOWAY, OH 43119-9201
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35042703
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0383660
—
OH
Enumeration date
05/13/2007
Last updated
07/08/2007
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