Individual
DR. SAMEH BASTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
651 N BROAD ST STE 206, MIDDLETOWN, DE 19709-6402
(312) 459-0921
Mailing address
425 MICHIGAN AVE, BUFFALO, NY 14203-2209
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A175282
CA
Other
Enumeration date
07/09/2014
Last updated
06/10/2022
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