Individual
DR. BASEL EDRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
613 23RD ST STE 230, ASHLAND, KY 41101-2868
(606) 324-4745
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-9571
(606) 408-6061
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
46448
KY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
46448
KY
208M00000X
Hospitalist Physician
46448
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100251970
—
KY
Enumeration date
07/26/2010
Last updated
04/30/2026
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