Individual
DR. BASEM ALMASRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25710 KELLY RD, STE 3, ROSEVILLE, MI 48066-4959
(586) 772-2600
(586) 772-5289
Mailing address
25710 KELLY RD, STE 3, ROSEVILLE, MI 48066-4959
(586) 772-2600
(586) 772-5289
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301075951
MI
207R00000X
Internal Medicine Physician
Primary
4301075951
MI
208M00000X
Hospitalist Physician
4301075951
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326040510
NPI #
MI
05
—
4846324-10
—
MI
01
—
70-0-F32947-0
BCBS CPIN #
MI
01
—
BA075951
BCBSM
MI
Enumeration date
06/01/2005
Last updated
05/10/2017
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