| Bassi Clinic Pllc | |
|
11110 N Tatum Blvd Ste 103 Phoenix AZ 85028-1607 | |
| (602) 354-3311 | |
| Not Available |
| Full Name | Bassi Clinic Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11110 N Tatum Blvd Ste 103, Phoenix, Arizona |
| Authorized Official Name and Position | Tarun Bassi (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6463522619 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bassi Clinic Pllc 11110 N Tatum Blvd Ste 103 Phoenix AZ 85028-1607 Ph: () - | Bassi Clinic Pllc 11110 N Tatum Blvd Ste 103 Phoenix AZ 85028-1607 Ph: (602) 354-3311 |
| NPI Number | 1376141598 |
|---|---|
| Provider Enumeration Date | 10/09/2020 |
| Last Update Date | 10/01/2021 |
| Medicare PECOS PAC ID | 3274948500 |
|---|---|
| Medicare Enrollment ID | O20210219001023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376141598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Tarun Bassi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538277587 PECOS PAC ID: 9638143217 Enrollment ID: I20201002002239 |
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