Individual
DR. ROBERT M. BASARAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35 MONUMENT RD, SUITE 201, YORK, PA 17403-5074
(717) 812-4083
(717) 812-2244
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 812-4083
(717) 812-2244
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
MD028803E
PA
207UN0901X
Nuclear Cardiology Physician
MD028803E
PA
207UN0902X
Nuclear Imaging & Therapy Physician
MD028803E
PA
207UN0903X
In Vivo & In Vitro Nuclear Medicine Physician
MD028803E
PA
2085N0904X
Nuclear Radiology Physician
MD028803E
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD028803E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056566100
—
MD
05
—
0914589
—
PA
01
—
129377
HIGHMARK BLUE SHIELD
PA
01
—
129377YYY
MEDICARE PTAN
PA
01
—
1521152
GATEWAY
PA
01
—
300047027
RAILROAD MEDICARE
PA
01
—
30123079
AMERIHEALTH MERCY
PA
Enumeration date
05/31/2005
Last updated
06/30/2016
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