Individual
TARUN BASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11110 N TATUM BLVD STE 103, PHOENIX, AZ 85028-1607
(602) 354-3311
(602) 354-3751
Mailing address
11110 N TATUM BLVD STE 103, PHOENIX, AZ 85028-1607
(602) 354-3311
(602) 354-3751
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
46926
WI
207R00000X
Internal Medicine Physician
Primary
56559
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114227
—
AZ
05
—
34540700
—
WI
Enumeration date
08/29/2006
Last updated
01/07/2025
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