Basha, Imad Shamsi

Basha, Imad Shamsi is an sole proprietor health care provider with primary practice located at 9001 N Main St Ste A , Dayton OH 45415-1154. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Basha, Imad Shamsi can be contacted via phone (937) 832-0990.

Contact Information

Primary practice address
9001 N Main St Ste A Dayton OH 45415-1154
Phone: (937) 832-0990
Fax: (937) 832-7323
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 4301075324 Michigan
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 35.065103 Ohio

Profile Details

NPI number 1275835845
LBN Legal business name Basha, Imad Shamsi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2010
Last updated May 18th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275835845 NPPES
Ohio MEDICAID 2313820

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