1629381116

Everything you always wanted to know about DR. EDRIS BASEL MD but were afraid to ask.

DR. EDRIS BASEL MD

You can also download the this 1629381116 data report as csv | excel | json | xml
Provider Prefix Provider Last Name Provider First Name Provider Credential
DR. EDRIS BASEL MD
Gender:
Male
Enumeration date:
2010-07-26
Last update date:
2013-09-05
Current as of:
2007-08-28
Is sole proprietor?:
Yes
Is organization subpart?:
Not Answered
In PECOS?:
No
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Identifiers

identifier description issuer state active

Taxonomies

Taxonomy State License Number Primary?
207R00000X Internal Medicine KY TP376

Phone Numbers

Type Number
Mailing Address Telephone Number 8593236047
Practice Location Address Telephone Number 8593236047
Mailing Address Fax Number 8592573873
Practice Location Address Fax Number 8592573873

Addresses

Type Address City State Postal Country
Mailing Address UK INTERNAL MEDICINE HOSPITALIST 800 ROSE STREET, MN604 LEXINGTON KY 40536 KY
Practice Location Address UK INTERNAL MEDICINE HOSPITALIST 800 ROSE STREET, MN604 LEXINGTON KY 40536 KY

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