Provider Demographics
NPI:1841583028
Name:BASIT, JASPER FERMELL (MD)
Entity Type:Individual
Prefix:DR
First Name:JASPER
Middle Name:FERMELL
Last Name:BASIT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1479 W LACEY BLVD
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-5906
Mailing Address - Country:US
Mailing Address - Phone:559-583-4617
Mailing Address - Fax:559-583-4625
Practice Address - Street 1:1310 HANNA AVE
Practice Address - Street 2:
Practice Address - City:CORCORAN
Practice Address - State:CA
Practice Address - Zip Code:93212-2314
Practice Address - Country:US
Practice Address - Phone:559-992-8200
Practice Address - Fax:559-992-8673
Is Sole Proprietor?:No
Enumeration Date:2011-05-23
Last Update Date:2014-12-17
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Provider Licenses
StateLicense IDTaxonomies
CAA122242207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine