Dr Bassel Kisso Pc

LBN: Dr Bassel Kisso Pc
Dr Bassel Kisso Pc is an health care organization with primary practice located at 1505 N Swan Rd Ste 121 , Tucson AZ 85712-4044. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Dr Bassel Kisso Pc can be contacted via phone (520) 795-3090, or through Kisso, Bassel via phone (520) 795-3090.

Contact Information

Primary practice address
1505 N Swan Rd Ste 121 Tucson AZ 85712-4044
Phone: (520) 795-3090
Fax: (520) 795-3537
Website:
Map and Directions
Authorized official contact:
Name: Kisso, Bassel Doctor of Medicine (MD)
Phone: (520) 795-3090

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1538789482
LBN Legal business name Dr Bassel Kisso Pc
DBA Doing business as
Authorized official Kisso, Bassel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2020
Last updated Apr 21st, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538789482 NPPES
Arizona MEDICAID 227902

Popular Providers