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SHAIK IQBAL BASHA MD

Individual Provider (NPI-1) Active

Hospitalist

Provider Information

NPI Number
1578712378
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
1111 CRATER LAKE AVE, MEDFORD, OR, 975046241
Phone
(541) 732-5545
Fax
(541) 732-5548

Specialties & Taxonomies

Family Medicine License: OR #MD154567
Hospitalist Primary License: OR #MD154567

All Addresses

LOCATION

1111 CRATER LAKE AVE

MEDFORD, OR, 975046241

(541) 732-5545

MAILING

PO BOX 3158

PORTLAND, OR, 972083158

(503) 215-6494