Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IFATH G BASHIRUDDIN, M.D.
Active Sole ProprietorIFATH G BASHIRUDDIN, M.D. is a Nephrology healthcare provider located in BELLEVILLE, Illinois. NPI 1417060534 is currently active in the NPPES registry. Verify at CMS.
Nephrology · BELLEVILLE, IL
Registration Details
- NPI Number
- 1417060534
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 15, 2006 (19.993958308348 yrs)
- Last Updated
- Jan 31, 2012
- License
-
036085731 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4550 MEMORIAL DRSUITE 360BELLEVILLE, IL, 622265359Browse IL providers · Browse ZIP 62226
- Phone
- 6182399500
- Fax
- 6182399555
- Primary Specialty
-
Nephrology
207RN0300X
Other Nephrology Providers in BELLEVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| SHABNAM DARBARI | MD | 1225026016 |
| MARCIA LYNN WENDLAND | MD | 1194706564 |
| DONALD DAVID ROSE | MD | 1174505978 |
| DR. VIKRAM PATNEY | M.D. | 1699744235 |
| DR. RUO-QI HU | MD | 1144276072 |
| DR. MATTHEW J KOCH | MD | 1962420448 |
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.