Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD452546 | PA |
N | 111NI0900X | Internist | MD452546 | PA |
N | 207R00000X | Internist | MT198506 | PA |
N | 111NI0900X | Internist | MT198506 | PA |
Y | 207RX0202X | Medical Oncology | MD452546 | PA |
NPI | 1073892626 |
---|---|
Provider Name | Dr. Babar Bashir |
First Address | Philadelphia, PA 19107-5211 |
Second Address | Philadelphia, PA 19107-5211 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2011 |
Last Update Date | 03/09/2020 |