Basha, Ahsan M
Basha, Ahsan M is an individual health care provider with primary practice located at 1490 E Walnut St Ste A , Watseka IL 60970-1806. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Basha, Ahsan M can be contacted via phone (815) 432-0250.Contact Information
Primary practice address
1490 E Walnut St Ste A
Watseka IL 60970-1806
Phone: (815) 432-0250
Fax: (815) 432-5217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 30683 | Arizona |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 036093863 | Illinois |
Profile Details
| NPI number | 1043283849 |
|---|---|
| LBN Legal business name | Basha, Ahsan M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Mar 22nd, 2021 - about 4 years 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 | 1043283849 | NPPES |
| Arizona | Other | 71173 | MEDICARE ID |
| Arizona | MEDICAID | 036093863 | MEDICARE ID |
| Arizona | MEDICAID | 71613601 | MEDICARE ID |
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