Individual provider · Type 1 NPI

Ifath G. Bashiruddin, MD

Nephrology Physician · Belleville, IL

NPI number 1417060534 Active

Practice location

4550 Memorial Dr, Suite 360
Belleville, IL 62226-5359

Call (618) 239-9500 Map

Fax (618) 239-9555

Mailing address

7 Beaver Creek Ct
St. Charles, MO 63303-5497

Specialties and licenses

TaxonomyCodeLicense
Nephrology Physician Primary 207RN0300X036085731 (IL)

Nephrology Physician: 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.

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About NPI 1417060534

Ifath G. Bashiruddin, MD's National Provider Identifier is 1417060534, issued on Aug 15, 2006. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Belleville, IL. The record was last updated on Jan 31, 2012.