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NPI Code Detail

MEDICARE: BASIL SOHAIL BANGASH

MEDICARE: BASIL SOHAIL BANGASH
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
1207RP1001XPulmonary Disease Physician98357GA
2207R00000XInternal Medicine Physician25MA10893900NJ
3207RC0200XCritical Care Medicine (Internal Medicine) Physician98357GA

General Provider Information

NPI Number : 1144750571
Entity Type Code : Individual
Provider Name (Legal Business Name) : BASIL SOHAIL BANGASH
Provider Business Mailing Address
First Line : PO BOX 689022
Second Line :
City : FRANKLIN
State : TN
Zip : 37068-9022
Country : US
Telephone Number : 615-465-7211
Fax Number : 615-628-6877
Provider Business Practice Location Address
First Line : 1601 FAIR RD STE 600
Second Line :
City : STATESBORO
State : GA
Zip : 30458-0800
Country : US
Telephone Number : 912-681-4911
Fax Number : 912-681-6911
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2017
Last Update Date : 11/04/2025

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