Mossa-Basha, Ahmad

Mossa-Basha, Ahmad is an individual health care provider with primary practice located at 1515 N Madison Ave , Anderson IN 46011-3453. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Mossa-Basha, Ahmad can be contacted via phone (765) 298-4242.

Contact Information

Primary practice address
1515 N Madison Ave Anderson IN 46011-3453
Phone: (765) 298-4242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02005110A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 02005110A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 02005110A Indiana

Profile Details

NPI number 1306263306
LBN Legal business name Mossa-Basha, Ahmad
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2014
Last updated Nov 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306263306 NPPES
Indiana MEDICAID 300004937

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