Individual
ANDREW BASALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1005 DR DB TODD JR BLVD, NASHVILLE, TN 37208-3501
(615) 327-6168
(615) 327-5634
Mailing address
4405 DARTMOOR LN, ALEXANDRIA, VA 22310-1407
(732) 513-1711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101278549
VA
208M00000X
Hospitalist Physician
Primary
81139
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2020
Last updated
05/06/2025
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