Provider Demographics
NPI:1497509798
Name:BASIT, ABDUL
Entity type:Individual
Prefix:
First Name:ABDUL
Middle Name:
Last Name:BASIT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13014 PICKERING DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-3809
Mailing Address - Country:US
Mailing Address - Phone:301-219-2182
Mailing Address - Fax:
Practice Address - Street 1:13014 PICKERING DR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-3809
Practice Address - Country:US
Practice Address - Phone:301-219-2182
Practice Address - Fax:301-444-9457
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101200000XBehavioral Health & Social Service ProvidersDrama Therapist