BASEL CHANNIS (NPI# 1982834594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982834594 |
| Entity Type | Individual |
| Full Name | BASEL CHANNIS |
| Credential | M.D. |
| Practice Address |
2545 E Thomas Rd Ste 120 Phoenix AZ 85016-7969 |
| Mailing Address |
3333 E Camelback Rd Ste 180 Phoenix AZ 85018-2396 |
| Practice Telephone | 6024193378 |
| Mailing Telephone | 6029971098 |
| Mailing Fax Number | 6022243358 |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2020-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301094131 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
45548 | AZ | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 45548 | AZ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5040 N 15th Ave Ste 107, Phoenix, AZ 850153329 | 6022009711 |
| Street Address |
2545 E THOMAS RD STE 120 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-7969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768020 | Hassan Hachem | Specialist | 2545 E Thomas Rd Ste 120, Phoenix, AZ 85016 | 2005-05-30 |
| 1013313451 | Yuzana Zaw | Internal Medicine | 2545 E Thomas Rd Ste 120, Phoenix, AZ 85016 | 2014-11-12 |
| 1467666123 | Alexander M. Nimri | Internal Medicine | 2545 E Thomas Rd Ste 120, Phoenix, AZ 85016 | 2007-05-10 |
| 1073559621 | Katharine Dahl | Internal Medicine | 2545 E Thomas Rd Ste 120, Phoenix, AZ 85016 | 2006-06-21 |
| 1184622243 | Maher Mousa | Internal Medicine | 2545 E Thomas Rd Ste 120, Phoenix, AZ 85016 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326515677 | Mind Body Kidney | Internal Medicine | 4340 E Indian School Rd Ste 21-408, Phoenix, AZ 85018-5360 | 2018-10-25 |
| 1528427317 | Akdhc, LLC | Internal Medicine | 4901 W Mcdowell Rd, Phoenix, AZ 85035 | 2016-02-22 |
| 1801263033 | Akdhc, LLC | Internal Medicine | 2545 E. Thomas Rd., Suite 110/120, Phoenix, AZ 85016-7941 | 2015-08-24 |
| 1861889859 | Akdhc, LLC | Internal Medicine | 3815 E Bell Rd Ste 3500, Phoenix, AZ 85032-2165 | 2015-04-17 |
| 1730592171 | Joon Soo Kim | Internal Medicine | 9305 W Thomas Rd Ste 570, Phoenix, AZ 85037-3358 | 2014-06-03 |
| 1396064663 | Akdhc, LLC | Internal Medicine | 4524 N Maryvale Parkway, Akdhc, LLC - Maryvale, Ste 160, Phoenix, AZ 85031 | 2010-05-25 |
| 1790915684 | Bassam Syed Shakil | Internal Medicine | 5040 N 15th Ave Ste 107, Phoenix, AZ 85015-3329 | 2009-07-25 |
| 1336338789 | Akdhc, LLC | Internal Medicine | 15255 N 40th St Bldg 5, Phoenix, AZ 85032-4624 | 2007-10-22 |
| 1861681298 | Akdhc, LLC | Internal Medicine | 3003 N Central Ave Ste T100, Phoenix, AZ 85012-2929 | 2007-10-22 |
| 1801084835 | Akdhc, LLC | Internal Medicine | 7725 N 43rd Ave Ste 411, Phoenix, AZ 85051-5771 | 2007-10-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.