Mossa-Basha, Malik

Mossa-Basha, Malik is an individual health care provider with primary practice located at 9998 Crosspoint Blvd Ste 200 , Indianapolis IN 46256-3307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mossa-Basha, Malik can be contacted via phone (317) 579-2150.

Contact Information

Primary practice address
9998 Crosspoint Blvd Ste 200 Indianapolis IN 46256-3307
Phone: (317) 579-2150
Fax: (317) 579-2130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01089176A Indiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D88654 Maryland

Profile Details

NPI number 1306264023
LBN Legal business name Mossa-Basha, Malik
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2014
Last updated Jun 12th, 2023 - about 3 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 1306264023 NPPES
Michigan Other 43015045720 STATE LICENSE
Michigan Other D88654 STATE LICENSE
Michigan Other 01089176A STATE LICENSE

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