Provider Demographics
NPI:1558045369
Name:ELSOLH, BASHEER (MD MPH FRCSC)
Entity type:Individual
Prefix:DR
First Name:BASHEER
Middle Name:
Last Name:ELSOLH
Suffix:
Gender:M
Credentials:MD MPH FRCSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:311 N CLYDE MORRIS BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-2768
Mailing Address - Country:US
Mailing Address - Phone:386-241-1081
Mailing Address - Fax:352-627-4820
Practice Address - Street 1:311 N CLYDE MORRIS BLVD STE 500
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-2768
Practice Address - Country:US
Practice Address - Phone:386-241-1081
Practice Address - Fax:352-627-4820
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT2294132086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology