Provider Demographics
NPI:1992201149
Name:BASIT MEDICAL INC
Entity Type:Organization
Organization Name:BASIT MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JASPER
Authorized Official - Middle Name:
Authorized Official - Last Name:BASIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-544-0431
Mailing Address - Street 1:2105 CHARLIE CHAMBERS DR
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-7364
Mailing Address - Country:US
Mailing Address - Phone:909-544-0431
Mailing Address - Fax:
Practice Address - Street 1:1457 BAILEY ST
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-5943
Practice Address - Country:US
Practice Address - Phone:559-582-9100
Practice Address - Fax:559-582-9103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA12242207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty