Mossa-Basha, Ahmad
Mossa-Basha, Ahmad is an individual health care provider with primary practice located at 1515 N Madison Ave , Anderson IN 46011-3453. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Mossa-Basha, Ahmad can be contacted via phone (765) 298-4242.Contact Information
Primary practice address
1515 N Madison Ave
Anderson IN 46011-3453
Phone: (765) 298-4242
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02005110A | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 02005110A | Indiana |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 02005110A | Indiana |
Profile Details
| NPI number | 1306263306 |
|---|---|
| LBN Legal business name | Mossa-Basha, Ahmad |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2014 |
| Last updated | Nov 27th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306263306 | NPPES |
| Indiana | MEDICAID | 300004937 |
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