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Contact Information

RAHUL BASHO, MD
188 MEDICAL DR
HANNIBAL, MO63401-6877
 Phone: 573-248-1010
 Fax: 573-248-0536
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery of the Spine

207XS0117X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RAHUL BASHO · (Male)

NPI # 1760691745
Status Active
Credentials MD
Entity Individual
Enumeration date 05/22/2007
Last updated 10/30/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A107599
  • MO License # 2012039475
  • MO Medicaid 1760691745
  • MO Other 117650001 MEDICARE PROVIDER NUMBER
Hospital affiliation(s)
  • HANNIBAL REGIONAL HOSPITAL - (Acute Care)
    6000 HOSPITAL DR
    HANNIBAL, MO 63401
  • MEMORIAL HOSPITAL - (Critical Access)
    SOUTH ADAMS ST, PO BOX 160
    CARTHAGE, IL 62321
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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