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Contact Information

BASEL EDRIS, MD
613 23RD ST STE 230
ASHLAND, KY41101-2868
 Phone: 606-324-4745
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BASEL EDRIS · (Male)

NPI Number 1629381116
Status Active
Credentials MD
Entity Individual
Enumeration date 07/26/2010
Last updated 04/30/2026 - About a month ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 46448
  • KY Medicaid 7100251970
Hospital affiliation(s)
  • UMASS MEMORIAL MEDICAL CENTER INC - (Acute Care)
    55 LAKE AVENUE NORTH
    WORCESTER, MA 01655
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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