Individual
RICHARD P BASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 274-0275
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
367H00000X
Anesthesiologist Assistant
Primary
75000004A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001258454
ANTHEM PTAN
IN
01
—
855380
BCBS
GA
Enumeration date
04/11/2006
Last updated
05/13/2025
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