Imad Albasha, MD
Psychiatry & Neurology, Psychiatry in Rockford, IL. Individual provider (NPI-1).
NPI number1467584516
StatusActive
Last updated in NPPESMay 13, 2008
Details
- NPI
- 1467584516
- Entity type
- Individual (NPI-1)
- Name
- Imad Albasha
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 12, 2007
- Last updated
- May 13, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 036079335 | IL | Yes |
Practice location
1639 N Alpine RdRockford, IL 61107-1449
Phone 815-229-7227 · Fax 815-229-7288
Mailing address
1639 N Alpine RdRockford, IL 61107-1449
Phone 815-229-7227 · Fax 815-229-7288
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