Adie, Bassem
Adie, Bassem is an sole proprietor health care provider with primary practice located at 6401 E Washington St , Indianapolis IN 46219-6614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Adie, Bassem can be contacted via phone (317) 808-7085.Contact Information
Primary practice address
6401 E Washington St
Indianapolis IN 46219-6614
Phone: (317) 808-7085
Fax: (317) 708-0115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 33306 | Kentucky |
Profile Details
| NPI number | 1174613889 |
|---|---|
| LBN Legal business name | Adie, Bassem |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Apr 11th, 2024 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174613889 | NPPES |
| Kentucky | Other | 3565 | TRICARE |
| Kentucky | MEDICAID | 64001738 | TRICARE |
| Kentucky | Other | 10801935 | TRICARE |
| Kentucky | Other | 64001738 | TRICARE |
| Kentucky | Other | 000000046044 | TRICARE |
| Kentucky | Other | 110188405 | TRICARE |
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