Individual
BASEL CHANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2545 E THOMAS RD STE 120, PHOENIX, AZ 85016-7969
(602) 419-3378
Mailing address
3333 E CAMELBACK RD, STE 180, PHOENIX, AZ 85018-2396
(602) 997-1098
(602) 224-3358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301094131
MI
207RN0300X
Nephrology Physician
Primary
45548
AZ
208M00000X
Hospitalist Physician
45548
AZ
Other
Enumeration date
07/16/2009
Last updated
04/17/2020
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