Individual provider · Type 1 NPI
Courtney Basrai
Medical Physician Assistant · Philadelphia, PA
NPI number
1932856788
Active
Practice location
3400 Spruce Street
Philadelphia, PA 19104-4204
Fax (215) 349-8144
Mailing address
1220 Buttonwood St
Philadelphia, PA 19123-3614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | MA063442 (PA) |
Medical Physician Assistant: Definition to come...
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About NPI 1932856788
Courtney Basrai's National Provider Identifier is 1932856788, issued on Mar 2, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 17, 2026.