Healthcare Provider Details

I. General information

NPI: 1366701914
Provider Name (Legal Business Name): BASSEL SAFI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2012
Last Update Date: 05/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TAWAM HOSPITAL TAWAM STREET
AL AIN ABU DHABI
11111
AE

IV. Provider business mailing address

PO BOX 15258 TAWAM HOSPITAL
AL AIN ABU DHABI
11111
AE

V. Phone/Fax

Practice location:
  • Phone: 216-640-9431
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number35042951
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: