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Contact Information

ASAAD ELBASHIR, STUDENT
1524 MCHENRY AVE STE 570
MODESTO, CA95350
 Phone: 209-572-3880
 Fax: 209-572-3349
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Endocrinology

2080P0205X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ASAAD ELBASHIR · (Male)

NPI # 1841558657
Status Active
Credentials STUDENT
Entity Individual
Enumeration date 04/30/2012
Last updated 04/13/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A155240
  • CA Medicaid 1841558657
Hospital affiliation(s) Not Available
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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