Provider Demographics
NPI:1225020613
Name:BASKIN, REED C (MD)
Entity Type:Individual
Prefix:
First Name:REED
Middle Name:C
Last Name:BASKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 405827
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-5800
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:901-227-8591
Practice Address - Street 1:80 HUMPHREYS CENTER DR STE 330
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-2363
Practice Address - Country:US
Practice Address - Phone:901-752-6131
Practice Address - Fax:901-751-6170
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5786207RH0003X
MS17885207RH0003X
ARR4662207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3155066Medicaid
MO202906004Medicaid
AR80402OtherBLUE CROSS BLUE SHIELD
4097638OtherAETNA
6238834OtherCIGNA
TN3161967OtherBLUE CROSS BLUE SHIELD
AR106896001Medicaid
MS00123744Medicaid
MS00123744Medicaid
MO202906004Medicaid
6238834OtherCIGNA
TN3155066Medicaid
AR80402OtherBLUE CROSS BLUE SHIELD
TN3155066Medicaid