Organization
NASRULLAH M. BASHA, MD, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASRULLAH M BASHA MD (MEDICAL DOCTOR)
(773) 734-4242
Entity
Organization
Contact information
Practice address
2315 E 93RD ST, STE 222, CHICAGO, IL 60617-3936
(773) 734-4242
(773) 734-1448
Mailing address
2315 E 93RD ST, STE 222, CHICAGO, IL 60617-3936
(773) 734-4242
(773) 734-1448
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
07/13/2006
Last updated
08/22/2020
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