Individual
BASEL MOUSSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35-071087
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000152232
ANTHEM BLUE CROSS
OH
05
—
0852635
—
OH
01
—
522125821
PROVIDER NUMBER
OH
01
—
522125821026
CARESOURCE
OH
Enumeration date
08/31/2006
Last updated
09/07/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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