Individual
DR. BASHAR MARJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1300 E CENTENNIAL DR, PITTSBURG, KS 66762-6650
(620) 231-5965
(620) 231-6109
Mailing address
1 MT CARMEL WAY, PITTSBURG, KS 66762-7587
(620) 231-5965
(620) 231-6109
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
04-29998
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200000290B
—
KS
Enumeration date
06/04/2006
Last updated
04/07/2020
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