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NPI Code Detail

MEDICARE: KHALEEL BASHIR

MEDICARE: KHALEEL BASHIR
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1164156295
Entity Type Code : Individual
Provider Name (Legal Business Name) : KHALEEL BASHIR
Provider Business Mailing Address
First Line : 100 W CALIFORNIA BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91105-3010
Country : US
Telephone Number : 626-397-5000
Fax Number :
Provider Business Practice Location Address
First Line : 100 W CALIFORNIA BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91105-3010
Country : US
Telephone Number : 626-397-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2022
Last Update Date : 04/07/2026

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Directions to “ KHALEEL BASHIR ” Practice Location

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