Dibas, Basema Ismail
Dibas, Basema Ismail is an individual health care provider with primary practice located at 2211 Lomas Blvd Ne , Albuquerque NM 87106-2719. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Nephrology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Nephrology is her primary health care specialty. Dibas, Basema Ismail can be contacted via phone (505) 272-3887.Contact Information
Primary practice address
2211 Lomas Blvd Ne
Albuquerque NM 87106-2719
Phone: (505) 272-3887
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | MD470610 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | 036-144300 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD2022-1462 | New Mexico |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036-144300 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | 2010-02054 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | 2007022719 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | MD2022-1462 | New Mexico |
Profile Details
| NPI number | 1023284080 |
|---|---|
| LBN Legal business name | Dibas, Basema Ismail |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2008 |
| Last updated | Jul 13th, 2023 - about 2 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 | 1023284080 | NPPES |
| North Carolina | MEDICAID | 5916487 | |
| North Carolina | Other | 1608U |
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