Individual
DR. YAHYA MOSSA-BASHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4045 W 13 MILE RD, ROYAL OAK, MI 48073-6640
(248) 435-8066
(248) 435-8099
Mailing address
30701 WOODWARD AVE, SUITE LL, ROYAL OAK, MI 48073-0987
(248) 288-1600
(248) 288-2171
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301037035
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1969939
—
MI
Enumeration date
01/26/2007
Last updated
07/08/2007
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