Individual
AMJAD PANICKAVEETTIL MOHAMED BASHEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
4520 W 69TH ST, SIOUX FALLS, SD 57108-8148
(605) 977-5000
(605) 977-5377
Mailing address
UCONN GRADUATE MEDICAL EDUCATION, 263 FARMINGTON AVENUE LM068, FARMINGTON, CT 06030-1921
(860) 879-4763
(860) 879-4624
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
17325
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2019
Last updated
07/24/2025
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