Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 42004 | AZ |
N | 111NI0900X | Internist | 42004 | AZ |
Y | 207RC0000X | Internist - Cardiovascular Disease | 42004 | AZ |
N | 207RI0011X | Interventional Cardiology | 42004 | AZ |
NPI | 1003090390 |
---|---|
Provider Name | Dr. Basel Skeif |
First Address | Tucson, AZ 85719-1563 |
Second Address | Tucson, AZ 85712-2800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2007 |
Last Update Date | 16/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
125727 | (05) | AZ |