Organization
NABIL BASHA, M.D., P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NABIL BASHA M.D. (PRESIDENT AND SOLE OWNER)
(606) 789-7040
Entity
Organization
Contact information
Practice address
713 BROADWAY ST, PAINTSVILLE, KY 41240-1465
(606) 789-7040
(606) 789-3035
Mailing address
PO BOX 707, PAINTSVILLE, KY 41240-0707
(606) 789-7040
(606) 789-3035
Taxonomy
Speciality
Code
Description
License number
State
2086H0002X
Hospice and Palliative Medicine (Surgery) Physician
Primary
19712
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047317
ANTHEM
KY
01
—
0690171
UMWA
—
05
—
64197122
—
KY
01
—
KOOO977
CHAMPUS
—
Enumeration date
04/10/2007
Last updated
08/22/2020
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