Individual
KHAISHOON N. BASRAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
216 MOORE RD, KING, NC 27021-8703
(336) 983-4346
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-1000
(336) 718-1052
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200401615
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900381
—
NC
Enumeration date
01/10/2006
Last updated
03/11/2020
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