DR. Fawzy Samy Basta SR., MD
NPI #1043394505 in Northridge, California
Provider Information
- NPI Number
- 1043394505
- Entity Type
- Individual
- Name
- DR. Fawzy Samy Basta SR., MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Credential
- MD
- Enumeration Date
- Oct 24, 2006
- Last Updated
- Jan 20, 2012
Practice Location
- Address
- 17075 DEVONSHIRE ST
- Address 2
- STE 204
- City
- Northridge
- State
- California
- ZIP Code
- 91325-5408
- Phone
- (818) 368-8929
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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