Ifath G. Bashiruddin M.D.S.C.

LBN: Ifath G. Bashiruddin M.D.S.C.
Ifath G. Bashiruddin M.D.S.C. is an health care organization with primary practice located at 4550 Memorial Dr Suite 410, Belleville IL 62226-5359. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Ifath G. Bashiruddin M.D.S.C. can be contacted via phone (618) 234-8246, or through Haake, Deborah via phone (618) 234-8246.

Contact Information

Primary practice address
4550 Memorial Dr Suite 410 Belleville IL 62226-5359
Phone: (618) 234-8246
Fax: (618) 234-8271
Website:
Map and Directions
Authorized official contact:
Name: Haake, Deborah
Phone: (618) 234-8246

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Illinois

Profile Details

NPI number 1821287293
LBN Legal business name Ifath G. Bashiruddin M.D.S.C.
DBA Doing business as
Authorized official Haake, Deborah
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2007
Last updated Nov 5th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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