Individual
CHRISTOPHER M BASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
482 HAWTHORNE DR NE, NORTON, VA 24273-2970
(276) 437-3000
Mailing address
PO BOX, ATTN: CREDENTIALING, KINGSPORT, TN 37662-0009
(423) 857-2066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101230202
VA
208M00000X
Hospitalist Physician
0101230202
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005601487
—
VA
05
—
64047533
—
KY
Enumeration date
01/30/2006
Last updated
03/19/2025
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