Individual
ELIZABETH D BASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15151 NATIONAL AVE, LOS GATOS, CA 95032-2627
(408) 356-0431
Mailing address
15151 NATIONAL AVE, LOS GATOS, CA 95032-2627
(408) 356-0431
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A120310
CA
Other
Enumeration date
06/28/2008
Last updated
01/03/2013
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