Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MERVAT BASTA, M.D.
Active Sole ProprietorDR. MERVAT BASTA, M.D. is a General Acute Care Hospital healthcare provider located in FORT MOHAVE, Arizona. NPI 1285770115 is currently active in the NPPES registry. Verify at CMS.
General Acute Care Hospital · FORT MOHAVE, AZ
Registration Details
- NPI Number
- 1285770115
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 29, 2007 (19.355848255336 yrs)
- Last Updated
- Dec 4, 2020
- Licenses
-
26169 (AZ)26169 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4825 S HIGHWAY 95 # 2-356FORT MOHAVE, AZ, 86426Browse AZ providers · Browse ZIP 86426
- Phone
- 8882065902
- Fax
- 4804667536
- Primary Specialty
-
General Acute Care Hospital
282N00000X
- Additional Specialty
- General Acute Care Hospital
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.