Ifath Bashiruddin, M.D

NPI 1417060534 · on the registry since 2006 · sole proprietor

Practice

Address: 4550 Memorial Dr
Suite 360
Belleville, IL 62226
Phone: (618) 239-9500
Fax: (618) 239-9555
Organisation at this address: Ca Group Llc
Ca Group, Llc
Msa Alliance Llc
Msa Alliance, Llc
Msa Alliance, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 30

Registry record

Primary taxonomy: 207RN0300X
207RN0300X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-01-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois