NPI 1710944707 · live from the CMS NPI Registry
Habib Fouad Bassil, MD
Internal Medicine, Cardiovascular Disease in South Boston, VA. National Provider Identifier 1710944707, active.
NPI record
| NPI | 1710944707 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 2232 Wilborn Ave, Suite A, South Boston, VA 24592 |
| Practice phone | 434-572-8977 |
| Mailing address | 4402 Brentwood Dr, South Boston, VA 24592 |
| Enumerated | April 26, 2006 |
| Last updated | September 15, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | 0101044555 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.