Active NPI
Ahsan M Basha MD PC
- Hematology & Oncology Physician
- Mesa, AZ
National Provider Identifier
1891992046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- AHSAN M BASHA MD PC
- Practice address
- 1432 S Dobson Rd
106
Mesa, AZ 85202-4768 - Phone
- (480) 969-3637
- Fax
- (480) 969-6568
- NPI assigned
- Jun 29, 2007
- Last updated
- Apr 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Casillas
- Title
- Administrator
- Phone
- (480) 969-4634
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | Primary |
Addresses
Primary practice location
1432 S Dobson Rd
106
Mesa, AZ 85202-4768
Mailing address
1432 S Dobson Rd
106
Mesa, AZ 85202-4768
Phone (480) 969-3637
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71613601 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207267200000",
"number": "1891992046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1432 S DOBSON RD",
"address_2": "106",
"city": "MESA",
"state": "AZ",
"postal_code": "852024768",
"telephone_number": "480-969-3637",
"fax_number": "480-969-6568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1432 S DOBSON RD",
"address_2": "106",
"city": "MESA",
"state": "AZ",
"postal_code": "852024768",
"telephone_number": "480-969-3637",
"fax_number": "480-969-6568"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AHSAN M BASHA MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-29",
"last_updated": "2008-04-04",
"status": "A",
"authorized_official_last_name": "CASILLAS",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "480-969-4634"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "71613601",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.