Individual
ABDEL-QADER AL-BASHABSHEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1008 N MAIN ST, SIKESTON, MO 63801-5044
(573) 472-7565
(573) 472-6015
Mailing address
1008 N MAIN ST, SIKESTON, MO 63801-5044
(573) 472-7565
(573) 472-6015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2016024019
MO
207R00000X
Internal Medicine Physician
4301103597
MI
Other
Enumeration date
07/05/2013
Last updated
08/16/2016
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