Individual
ABETH JOB BASKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 WYOMING ST STE SE3100B, DAYTON, OH 45409-2722
(937) 208-8394
Mailing address
1644 SUNSET CANYON CT, FAIRBORN, OH 45324-7617
(914) 343-5276
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.009047RX
OH
Other
Enumeration date
04/22/2024
Last updated
11/17/2025
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