Individual
DR. MAHDI BASHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
33080 UTICA RD, FRASER, MI 48026-2038
(586) 296-7250
(586) 296-7256
Mailing address
6601 INKSTER RD, BLOOMFIELD HILLS, MI 48301-2823
(586) 296-7250
(586) 296-7256
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
5101016997
MI
207W00000X
Ophthalmology Physician
D0.000211
LA
207W00000X
Ophthalmology Physician
OT012221
PA
Other
Enumeration date
07/18/2008
Last updated
11/14/2024
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