Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BASEL MOUSSA, MD
Deactivated Sole ProprietorSpecialist · FAIRVIEW PARK, OH
This NPI has been deactivated.
The record was deactivated on July 17, 2007.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1467563429
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2006 (0.87671232876712 yrs)
- Last Updated
- Sep 7, 2007
- Deactivated
- Jul 17, 2007
- License
-
35-071087 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20997 LORAIN RDFAIRVIEW PARK, OH, 44176Browse OH providers · Browse ZIP 44176
- Phone
- 4403566666
- Fax
- 4403566651
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in FAIRVIEW PARK, OH
| Name | Credential | NPI |
|---|---|---|
| DR. VIJAYA ACHANTI | M.D. | 1982637906 |
| DR. JON K ABRAHAMSON | M.D. | 1518992452 |
| REBECCA MALEK | OTR/L | 1871998864 |
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.