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Individual

NORA MOSSA-BASHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8040 CLEARVISTA PKWY, INDIANAPOLIS, IN 46256-5630
(317) 809-6328
Mailing address
PO BOX 6005 DEPT 196, INDIANAPOLIS, IN 46206-5630
(317) 614-9817
(317) 614-9655

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01086100A
IN
207L00000X
Anesthesiology Physician
4301112671
MI

Other

Enumeration date
07/10/2017
Last updated
07/21/2022
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