Individual
YASIER A BASHEER-GOWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HIGH RISE DR, STE 374, LOUISVILLE, KY 40213-3252
(502) 969-6552
(502) 969-3799
Mailing address
PO BOX 950245, LOUISVILLE, KY 40295-0245
(502) 969-6552
(502) 969-3799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01063087A
IN
207Q00000X
Family Medicine Physician
40703
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000381983
ANTHEM / NICC
—
01
—
104133
SIHO / NICC
—
01
—
1223787
CHA / NICC
—
05
—
200855320
—
IN
05
—
6412077700
—
KY
01
—
P00305247
RRMCR / NICC
KY
Enumeration date
04/19/2006
Last updated
02/26/2010
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