Provider Demographics
NPI:1790994960
Name:BASHIR, MOHAMMAD A (MB, BS)
Entity Type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:A
Last Name:BASHIR
Suffix:
Gender:M
Credentials:MB, BS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:DEPT OF THORACIC SURGERY
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-1133
Mailing Address - Fax:319-356-3891
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:DEPT OF THORACIC SURGERY
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-1133
Practice Address - Fax:319-356-3891
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2013-10-14
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Provider Licenses
StateLicense IDTaxonomies
IAR7471208600000X
IA39026208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No208600000XAllopathic & Osteopathic PhysiciansSurgery