Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 1200357 | KS |
N | 222Z00000X | Podiatrist | 1200357 | KS |
N | 213E00000X | Podiatrist | 2012019495 | MO |
N | 222Z00000X | Podiatrist | 2012019495 | MO |
Y | 213E00000X | Podiatrist | 309 | OK |
Y | 222Z00000X | Podiatrist | 309 | OK |
N | 213E00000X | Podiatrist | T-00718 | KS |
N | 222Z00000X | Podiatrist | T-00718 | KS |
NPI | 1013922772 |
---|---|
Provider Name | Dr. Barinder Paul Bassi |
First Address | Tahlequah, OK 74464-2512 |
Second Address | Tahlequah, OK 74464-2512 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2006 |
Last Update Date | 11/04/2017 |