Individual
RAHUL BASHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
188 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 248-1010
(573) 248-0536
Mailing address
188 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 248-1010
(573) 248-0536
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A107599
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
2012039475
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117650001
MEDICARE PROVIDER NUMBER
MO
05
—
1760691745
—
MO
Enumeration date
05/22/2007
Last updated
10/30/2023
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