Provider Demographics
NPI:1922291996
Name:SELMA PEDITRICS, P.C.
Entity Type:Organization
Organization Name:SELMA PEDITRICS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR & PRESIDENT OF SELMA PEDIATR
Authorized Official - Prefix:DR
Authorized Official - First Name:LOTFI
Authorized Official - Middle Name:
Authorized Official - Last Name:BASHIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FAAP
Authorized Official - Phone:334-872-9410
Mailing Address - Street 1:1225 MEDICAL CENTER PKWY
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:AL
Mailing Address - Zip Code:36701-6797
Mailing Address - Country:US
Mailing Address - Phone:334-872-9410
Mailing Address - Fax:334-872-9411
Practice Address - Street 1:1225 MEDICAL CENTER PKWY
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:AL
Practice Address - Zip Code:36701-6797
Practice Address - Country:US
Practice Address - Phone:334-872-9410
Practice Address - Fax:334-872-9411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-23
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty