IFATH G BASHIRUDDIN

BELLEVILLE, IL
NPI1417060534
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: IL  036085731)
Enumeration Date2006-08-15
Last Update Date2012-01-31
Business Address
-- IFATH G BASHIRUDDIN M.D.
4550 MEMORIAL DR SUITE 360
BELLEVILLE, IL 62226-5359
Phone number: 618-239-9500
Mailing Address
-- IFATH G BASHIRUDDIN M.D.
7 BEAVER CREEK CT
SAINT CHARLES, MO 63303-5497
Phone number: 618-239-9500
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