Yasir Basheir
Individual provider Active NPI Driver · Iowa City, IA
NPI 1669928248 · NPPES record last updated Sep 1, 2016
Key facts
- NPI
- 1669928248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 247AD2020 (IA)
- Practice address
- 1570 S 1St Ave
Suite L
Iowa City, IA 52240-6012 - Phone
- (319) 383-4783
- Fax
- (319) 351-2484
- NPI assigned
- Sep 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 247AD2020 | IA | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 247AD2020 | IA | Yes |
Addresses
Primary practice location
1570 S 1St Ave
Suite L
Iowa City, IA 52240-6012
Mailing address
1570 South First Ave Suite L
Iowa City, IA 52240
Phone (319) 383-4783
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.