Individual
HIBA BASHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6341 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4946
(763) 586-5844
(763) 586-5992
Mailing address
6341 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4946
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
52628-20
WI
207K00000X
Allergy & Immunology Physician
Primary
60393
MN
208000000X
Pediatrics Physician
52628-20
WI
Other
Enumeration date
03/29/2007
Last updated
08/16/2016
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