Provider Demographics
NPI:1265704225
Name:ABDULBASIT, MUHAMMAD (MD, FACP)
Entity type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:
Last Name:ABDULBASIT
Suffix:
Gender:M
Credentials:MD, FACP
Other - Prefix:
Other - First Name:ABDUL
Other - Middle Name:
Other - Last Name:BASIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, FACP
Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-808-7856
Mailing Address - Fax:570-808-1069
Practice Address - Street 1:1000 E MOUNTAIN BLVD
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18711-0027
Practice Address - Country:US
Practice Address - Phone:570-808-7856
Practice Address - Fax:570-808-1069
Is Sole Proprietor?:No
Enumeration Date:2012-02-06
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI56758-20207R00000X
PAMD457875207R00000X, 208M00000X, 207RN0300X
PAMD0457875207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist