Dr. Basema Ismail Dibas
Pediatrician Pediatric Nephrologist and 1 more
100 N Academy Ave
Danville
, Pennsylvania 17822-3736
Dr. Basema Ismail Dibas
Pediatrician Pediatric Nephrologist and 1 more
100 N Academy Ave
Danville
, Pennsylvania 17822-3736
(570) 271-6144
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About
Features
Specialties
- Pediatrician
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Basema Ismail Dibas
- 100 N Academy Ave
- Danville, PA
- Zip : 17822-4903
- Phone : (570) 271-6144
Second Address
- Dr. Basema Ismail Dibas
- 100 N Academy Ave
- Danville, PA
- Zip : 17822-3736
- Phone : (570) 271-7910
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FAQs
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Where did Dr. Basema Ismail Dibas do her fellowship?
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What type of doctor is Dr. Basema Ismail Dibas
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Is Dr. Basema Ismail Dibas a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 036-144300 | IL |
| N | 2080P0210X | Pediatric Nephrologist | 036-144300 | IL |
| N | 2080P0210X | Pediatric Nephrologist | 2007022719 | MO |
| N | 2080P0210X | Pediatric Nephrologist | 2010-02054 | NC |
| Y | 2080P0210X | Pediatric Nephrologist | MD470610 | PA |
National Provider Identifier
| NPI | 1023284080 |
|---|---|
| Provider Name | Dr. Basema Ismail Dibas |
| First Address | Danville, PA 17822-4903 |
| Second Address | Danville, PA 17822-3736 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/04/2008 |
| Last Update Date | 22/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1608U | BCBSNC (01) | NC |
| 5916487 | (05) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.