Basha, Shaik Iqbal

Basha, Shaik Iqbal is an individual health care provider with primary practice located at 1111 Crater Lake Ave , Medford OR 97504-6241. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Basha, Shaik Iqbal can be contacted via phone (541) 732-5545.

Contact Information

Primary practice address
1111 Crater Lake Ave Medford OR 97504-6241
Phone: (541) 732-5545
Fax: (541) 732-5548
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD154567 Oregon
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD154567 Oregon

Profile Details

NPI number 1578712378
LBN Legal business name Basha, Shaik Iqbal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2008
Last updated Feb 5th, 2021 - about 5 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 1578712378 NPPES
Oregon MEDICAID 500640088

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