Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 35.127356 | OH |
Y | 207QS0010X | Family Doctor - Sports Medicine | D0082134 | MD |
NPI | 1326314352 |
---|---|
Provider Name | Sumit Bassi |
First Address | Bel Air, MD 21014-4328 |
Second Address | Bel Air, MD 21014-4328 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2012 |
Last Update Date | 14/01/2021 |