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NPI Code Detail

MEDICARE: DR. BASSEM ADIE M.D.

MEDICARE: DR. BASSEM ADIE M.D.
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
1207R00000XInternal Medicine Physician33306KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4110188405OTHERKYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110801935OTHERKYCAQH PROVIDER ID
264001738OTHERKYKMAP
3000000046044OTHERKYBC/BS
53565OTHERKYTRICARE
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174613889
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BASSEM ADIE M.D.
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number : 844-630-0700
Fax Number : 877-374-1924
Provider Business Practice Location Address
First Line : 305 NEW ALBANY PLZ
Second Line :
City : NEW ALBANY
State : IN
Zip : 47150-4653
Country : US
Telephone Number : 812-668-8133
Fax Number : 877-772-5818
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 02/11/2026

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Directions to “ DR. BASSEM ADIE M.D.” Practice Location

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