Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH EMORY BASHAM, PHYSICIAN ASSISTANT
ActiveKEITH EMORY BASHAM, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1124329339 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1124329339
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 4, 2010 (15.630446859183 yrs)
- Last Updated
- May 16, 2025
- Licenses
-
3117 (CO)PA2011-0057 (NM)
Practice Information
- Address
-
7704 2ND ST NW STE AALBUQUERQUE, NM, 871076755Browse NM providers · Browse ZIP 87107
- Phone
- 5058737400
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| MIKAL ANN SMOKER | PA-C | 1164425260 |
| MS. MARCIA STARNS | PAC | 1841291531 |
| DALLAS R SHECKLER | PA | 1871586586 |
| SHARI E FREYER | PA C | 1134113723 |
| MICHAEL D BRENNAND | PA-C | 1013905140 |
| MR. PETER DAVID PACHECO | RPH., PA-C | 1760471395 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.