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Individual

DR. BASIL ALWATTAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
350 30TH ST STE 320, OAKLAND, CA 94609-3425
(510) 204-1844
Mailing address
PO BOX 276950, SACRAMENTO, CA 95827-6950
(510) 204-1844

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A112912
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
A112912
CA

Other

Enumeration date
06/20/2007
Last updated
08/29/2025
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