Individual
DR. MUSTAFA M BASREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MS
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-1465
(608) 890-8836
Mailing address
749 UNIVERSITY ROW STE 200, MADISON, WI 53705-1465
(608) 890-8836
(608) 262-0307
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
81340-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2021
Last updated
03/12/2026
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