Individual
DR. BASIM A DUBAYBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 ST. ANTOINE, SUITE 4C, DETROIT, MI 48201-2153
(313) 745-4525
(313) 745-4399
Mailing address
1560 E MAPLE RD, SUITE 400 - CREDENTIALING, TROY, MI 48083-1138
(313) 745-4525
(313) 745-4399
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301051471
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301051471
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301051471
MI
Other
Enumeration date
06/24/2006
Last updated
10/25/2016
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