Individual
DR. IMAD SHAMSI BASHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 MERCY DR, ORLANDO, FL 32808-5612
(872) 231-3162
Mailing address
PO BOX 734951, CHICAGO, IL 60673-4951
(702) 899-0595
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301075324
MI
207RP1001X
Pulmonary Disease Physician
35.065103
OH
207RP1001X
Pulmonary Disease Physician
Primary
ME141888
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2313820
—
OH
Enumeration date
12/02/2010
Last updated
12/11/2025
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