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NPI Code Detail

MEDICARE: BASHIR LENGI MD

MEDICARE: BASHIR LENGI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician15054GA
2207Q00000XFamily Medicine Physician70004741WA

General Provider Information

NPI Number : 1487359287
Entity Type Code : Individual
Provider Name (Legal Business Name) : BASHIR LENGI MD
Provider Business Mailing Address
First Line : 777 HEMLOCK ST
Second Line :
City : MACON
State : GA
Zip : 31201-2102
Country : US
Telephone Number : 478-633-5500
Fax Number :
Provider Business Practice Location Address
First Line : 1718 E KESSLER BLVD
Second Line :
City : LONGVIEW
State : WA
Zip : 98632-1842
Country : US
Telephone Number : 360-747-5800
Fax Number : 360-575-3846
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2023
Last Update Date : 05/27/2026

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Directions to “ BASHIR LENGI MD” Practice Location

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