Provider Demographics
NPI:1013998335
Name:BASSIN, AVTAR S (MD)
Entity Type:Individual
Prefix:
First Name:AVTAR
Middle Name:S
Last Name:BASSIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:13352 N 83RD AVE
Mailing Address - Street 2:SUITE #A 100
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4158
Mailing Address - Country:US
Mailing Address - Phone:623-977-8871
Mailing Address - Fax:623-977-4826
Practice Address - Street 1:13352 N 83RD AVE
Practice Address - Street 2:SUITE #A 100
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4158
Practice Address - Country:US
Practice Address - Phone:623-977-8871
Practice Address - Fax:623-977-4826
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZMD23833207RP1001X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine