Individual
ELMIRA SADEGHI RAZLIGHI BASALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
951 N WASHINGTON AVE, HOSPITALIST DEPT., TITUSVILLE, FL 32796
(321) 268-6111
(321) 268-6360
Mailing address
805 CENTURY MEDICAL DR OFC, TITUSVILLE, FL 32796-2100
(321) 268-6111
(321) 268-6360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2016-01587
NC
207R00000X
Internal Medicine Physician
LL32557
SC
208M00000X
Hospitalist Physician
2016-01587
NC
208M00000X
Hospitalist Physician
80718
GA
208M00000X
Hospitalist Physician
Primary
ME125020
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016526300
—
FL
05
—
43058500
—
WI
Enumeration date
06/17/2010
Last updated
02/03/2026
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