Basad Ali Essa, MD
Psychiatry & Neurology, Neurology in Royal Oak, MI. Individual provider (NPI-1).
NPI number1902193006
StatusActive
Last updated in NPPESJul 21, 2023
Details
- NPI
- 1902193006
- Entity type
- Individual (NPI-1)
- Name
- Basad Ali Essa
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2011
- Certification date
- Jul 21, 2023
- Last updated
- Jul 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 4301099090 | MI | Yes |
Practice location
3555 W 13 Mile Rd Ste N120Royal Oak, MI 48073-6710
Phone 855-863-8761 · Fax 248-551-8190
Mailing address
26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
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