Provider Demographics
NPI:1821326083
Name:BASHIR, ABID A (SLP)
Entity Type:Individual
Prefix:MR
First Name:ABID
Middle Name:A
Last Name:BASHIR
Suffix:
Gender:M
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 COTTONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-8203
Mailing Address - Country:US
Mailing Address - Phone:734-829-7188
Mailing Address - Fax:734-337-3340
Practice Address - Street 1:5900 COTTONWOOD DR
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-8203
Practice Address - Country:US
Practice Address - Phone:734-829-7188
Practice Address - Fax:734-337-3340
Is Sole Proprietor?:No
Enumeration Date:2009-11-30
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist