Individual
DR. BASHAR A. MUBASHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6847 N CHESTNUT ST STE 310, RAVENNA, OH 44266-3929
(330) 253-9052
(330) 253-9612
Mailing address
6847 N CHESTNUT ST STE 310, RAVENNA, OH 44266-3929
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35036620
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0243427
—
OH
01
—
0640351
AETNA
OH
Enumeration date
09/23/2005
Last updated
12/29/2020
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