Individual
BASIL ABRAHAM ALHASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH, DRPH
Contact information
Practice address
506 LENOX AVE, NEW YORK, NY 10037-1889
(212) 939-2291
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01088680A
IN
2084P0805X
Geriatric Psychiatry Physician
01088680A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103103205
ANTHEM PTAN
IN
05
—
300048917
—
IN
Enumeration date
04/24/2018
Last updated
05/07/2025
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