Provider Demographics
NPI:1023033933
Name:ABU-ASHOUR, BASMA MOHAMMED (MD)
Entity Type:Individual
Prefix:DR
First Name:BASMA
Middle Name:MOHAMMED
Last Name:ABU-ASHOUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:901 N MACOMB ST
Mailing Address - Street 2:SUITE 109
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162-3083
Mailing Address - Country:US
Mailing Address - Phone:734-243-2410
Mailing Address - Fax:734-384-2049
Practice Address - Street 1:901 N MACOMB ST
Practice Address - Street 2:SUITE 109
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162-3083
Practice Address - Country:US
Practice Address - Phone:734-243-2410
Practice Address - Fax:734-384-2049
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301064679208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics