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Organization

SAMIR BASATA MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMIR BASATA MD (OWNER)
(810) 742-3400
Entity
Organization

Contact information

Practice address
1501 S CENTER RD, BURTON, MI 48509-1731
(810) 742-3400
(810) 742-2534
Mailing address
1501 S CENTER RD, BURTON, MI 48509-1731
(810) 742-3400
(810) 742-2534

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
07/09/2019
Last updated
12/23/2025
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