Bassam Taha Al-rawi, DMD, MS | |
2500 Main St, Red Bluff, CA 96080 | |
(530) 934-4641 | |
Not Available |
Full Name | Bassam Taha Al-rawi |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 2500 Main St, Red Bluff, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346768777 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 043858 (Pennsylvania) | Secondary |
122300000X | Dentist | 108150 (California) | Primary |
Entity Name | Northern Valley Indian Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295752384 PECOS PAC ID: 1557493723 Enrollment ID: O20140429000114 |
Mailing Address | Practice Location Address |
---|---|
Bassam Taha Al-rawi, DMD, MS 1112 Burton Dr Apt C, Redding, CA 96003-5010 Ph: (512) 766-6990 | Bassam Taha Al-rawi, DMD, MS 2500 Main St, Red Bluff, CA 96080 Ph: (530) 934-4641 |
Katrina Elizabeth Perdue, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2150 Main St, Suite #1, Red Bluff, CA 96080 Phone: 530-527-7951 Fax: 530-527-7955 | |
Dr. Maria Juvy Roque Libao, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2500 Main St, Red Bluff, CA 96080 Phone: 530-529-2567 | |
Radu Alexandru Jifcu, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2500 Main St, Red Bluff, CA 96080 Phone: 530-529-2567 | |
Daniel Murolo, M.S, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 2500 Main St, Red Bluff, CA 96080 Phone: 530-529-2567 | |
Dr. Enos Alan Heinzen, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 1010 Jefferson St, Red Bluff, CA 96080 Phone: 530-527-7800 | |
David Nguyen, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2500 Main St, Red Bluff, CA 96080 Phone: 530-529-2567 | |
Leah Marie Stroing, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2500 Main St, Red Bluff, CA 96080 Phone: 530-529-2567 |