Individual
COURTNEY BASRAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4204
(215) 615-0063
(215) 349-8144
Mailing address
1220 BUTTONWOOD ST, PHILADELPHIA, PA 19123-3614
(215) 349-8940
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA063442
PA
Other
Enumeration date
03/02/2022
Last updated
03/17/2026
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