Individual
DR. BUSHRA IRAM WASIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
324 N QUEEN ST, KINSTON, NC 28501-4932
(252) 522-9800
Mailing address
PO BOX 11407, BELFAST, ME 04915-4005
(321) 453-3638
(321) 452-1185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01064179A
IN
207Q00000X
Family Medicine Physician
Primary
2011-01795
NC
207Q00000X
Family Medicine Physician
35.089202
OH
207Q00000X
Family Medicine Physician
ME123825
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2077Q00000X
TAXONOMY
FL
01
—
ME123825
FL MEDICAL LICENSE
FL
Enumeration date
05/15/2007
Last updated
05/25/2023
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