Provider Demographics
NPI:1558452789
Name:SHLEWIET, BASEM KALEEM (MD)
Entity Type:Individual
Prefix:DR
First Name:BASEM
Middle Name:KALEEM
Last Name:SHLEWIET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16 N FRANKLIN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-3536
Mailing Address - Country:US
Mailing Address - Phone:215-345-8627
Mailing Address - Fax:215-933-1414
Practice Address - Street 1:16 N FRANKLIN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-3536
Practice Address - Country:US
Practice Address - Phone:215-345-8627
Practice Address - Fax:215-933-1414
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD073753L2084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD073753LOtherMEDICAL PHYSICIAN AND SUR
PA1017272700001Medicaid
H88794Medicare UPIN