Healthcare Provider Details

I. General information

NPI: 1144262650
Provider Name (Legal Business Name): ALLIANCE PULMONARY ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 08/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 E STATE ST SUITE #240
ALLIANCE OH
44601
US

IV. Provider business mailing address

270 E STATE ST SUITE #240
ALLIANCE OH
44601
US

V. Phone/Fax

Practice location:
  • Phone: 330-596-6560
  • Fax: 330-823-6449
Mailing address:
  • Phone: 330-596-6560
  • Fax: 330-823-6449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number35078091
License Number StateOH

VIII. Authorized Official

Name: DR. ABDUL BASIT BASIT
Title or Position: SOLE OWNER
Credential: MD
Phone: 330-596-6560