Provider Demographics
NPI:1720081342
Name:BASHIR, MUHAMMAD T (MD)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:T
Last Name:BASHIR
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:PO BOX 6789
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95927-6789
Mailing Address - Country:US
Mailing Address - Phone:530-894-2300
Mailing Address - Fax:530-894-5890
Practice Address - Street 1:285 COHASSET RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2243
Practice Address - Country:US
Practice Address - Phone:530-892-2300
Practice Address - Fax:530-894-5890
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50356207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A503560Medicaid
P00174587OtherMEDICARE RAILROAD #
P00174587OtherMEDICARE RAILROAD #
CA00A503561Medicare PIN