Provider Demographics
NPI:1851732622
Name:BASEL, SAYED MOHAMMED (MD)
Entity Type:Individual
Prefix:
First Name:SAYED
Middle Name:MOHAMMED
Last Name:BASEL
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 1:460 GREENFIELD AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-3500
Mailing Address - Country:US
Mailing Address - Phone:559-584-0141
Mailing Address - Fax:559-584-5711
Practice Address - Street 1:460 GREENFIELD AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-3500
Practice Address - Country:US
Practice Address - Phone:559-584-0141
Practice Address - Fax:559-584-5711
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-09
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA120406207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology