Individual
DR. BASHAR MASKONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A
Contact information
Practice address
44405 WOODWARD AVE, MEDICAL EDUCATION, H-23, PONTIAC, MI 48341-2985
(248) 358-6233
(248) 858-3244
Mailing address
44405 WOODWARD AVE, MEDICAL EDUCATION, H-23, PONTIAC, MI 48341-2985
(248) 358-6233
(248) 858-3244
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301112291
MI
Other
Enumeration date
04/06/2017
Last updated
12/07/2017
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