NPI 1356343594

Deeni Bassam, MD

Practitioner Interventional Pain Medicine Physician Manassas, VA

Practice location

Address: 8525 Rolling Rd Suite 200, Manassas, VA 20110-3647
Phone: (703) 257-2266
Fax: (703) 257-2269
Mailing address: PO Box 4600, Manassas, VA 22030

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 0101235901 (VA)

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Registry record

NPI: 1356343594
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jun 2005
Record last updated: 6 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.