Nadijda Tannous Bassil, M.D.
Family Medicine in Tampa, FL. Individual provider (NPI-1).
NPI number1730445743
StatusActive
Last updated in NPPESJun 12, 2019
Details
- NPI
- 1730445743
- Entity type
- Individual (NPI-1)
- Name
- Nadijda Tannous Bassil
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2012
- Last updated
- Jun 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME124206 | FL | Yes |
| 207Q00000X | Family Medicine | 036144058 | IL |
Practice location
6918 Gunn HwyTampa, FL 33625-3853
Phone 813-891-6310 · Fax 813-891-6889
Mailing address
1255 S Michigan Ave Apt 2505Chicago, IL 60605-3312
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