Ifath G Bashiruddin, M.D.
NPI #1417060534 in Belleville, Illinois
Provider Information
- NPI Number
- 1417060534
- Entity Type
- Individual
- Name
- Ifath G Bashiruddin, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Internal Medicine - Nephrology
- Credential
- M.D.
- Enumeration Date
- Aug 15, 2006
- Last Updated
- Jan 31, 2012
Practice Location
- Address
- 4550 MEMORIAL DR
- Address 2
- SUITE 360
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226-5359
- Phone
- (618) 239-9500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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