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Individual

BASEM ALKURDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
409 BAYSHORE BLVD, TAMPA, FL 33606-2707
(813) 844-5460
(813) 844-1655
Mailing address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-5460
(813) 844-1655

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
00025596
AL
207RI0008X
Hepatology Physician
Primary
ME128074
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03589801
MS
05
051521858
AL
01
051591583
BCBS
AL
01
051591584
BCBS
AL
01
051595660
BCBS
AL
05
103482
AL
05
103483
AL
05
106840
AL
01
51521858
BLUE CROSS BLUE SHIELD
AL
01
P00779118
RAILROAD MEDICARE
AL
Enumeration date
03/07/2006
Last updated
01/13/2022
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