| Dr Qasim Bashir, MD | |
|
3700 Southern Blvd Ste 300, Kettering, OH 45429-1265 | |
| (937) 643-9299 | |
| (937) 643-2343 |
| Full Name | Dr Qasim Bashir |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3700 Southern Blvd Ste 300, Kettering, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780861807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085N0700X | Radiology - Neuroradiology | 036-116646 (Illinois) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 35087119 (Ohio) | Primary |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Entity Name | Mercy Health Physicians North Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Qasim Bashir, MD 1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115 Ph: (937) 762-1310 | Dr Qasim Bashir, MD 3700 Southern Blvd Ste 300, Kettering, OH 45429-1265 Ph: (937) 643-9299 |
Dr. Ella Brooks Kundu, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd # 6e, Kettering, OH 45429 Phone: 937-298-4331 Fax: 937-522-9584 | |
Ling Xu, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 540 Lincoln Park Blvd Ste 200, Kettering, OH 45429 Phone: 937-293-1117 | |
Dr. Catherine Hadaway, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4516 Royal Ridge Way, Kettering, OH 45429 Phone: 937-294-9131 |