Individual
BASSIR CARAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(917) 376-7264
Mailing address
101 DRAKE ST, MALVERNE, NY 11565-1506
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A189661
CA
Other
Enumeration date
04/08/2020
Last updated
12/26/2023
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