Individual
DR. BASHAR KIAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 MEADOWS DR, GRAYLING, MI 49738-2014
(989) 745-6601
(989) 745-6605
Mailing address
201 MEADOWS, GRAYLING, GRAYLING, MI 49738-7131
(989) 745-6601
(989) 745-6605
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301063746
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
4301063746
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4174554
—
MI
05
—
4578241
—
MI
Enumeration date
07/04/2006
Last updated
11/16/2021
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