DR. RIYAZ BASHIR


Address: 3509 N Broad St, Philadelphia, PA 19140-5103
Phone: 2157078484

DR. RIYAZ BASHIR (NPI# 1669466793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669466793
Entity Type Individual
Full Name DR. RIYAZ BASHIR
Credential M.D.
Practice Address 3509 N Broad St
Philadelphia
PA 19140-5103
Mailing Address 2450 W Hunting Park Ave
3/208n
Philadelphia
PA 19129-1302
Practice Telephone 2157078484
Practice Fax Number 2157073946
Mailing Telephone 2157078484
Mailing Fax Number 2157078484
Enumeration Date 2005-09-05
Last Update Date 2018-03-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
MD434567 PA Allopathic & Osteopathic Physicians
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
MD434567 PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN 544625100 05
OH 2335208 05

Office Location

Street Address 3509 N BROAD ST
City PHILADELPHIA
State PA
Zip Code 19140-5103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750841151 Chloe Beiler Physician Assistant 3509 N Broad St, Philadelphia, PA 19140-4105 2019-03-21
1770068041 Chirantan Vinodbhai Mangukia Thoracic Surgery (Cardiothoracic Vascular Surgery) 3509 N Broad St, Philadelphia, PA 19140-4105 2018-10-02
1891278933 Temple Faculty Practice Plan, Inc Speech-Language Pathologist 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-14
1396228508 Temple Faculty Practice Plan, Inc Surgery 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-13
1992288112 Temple Faculty Practice Plan, Inc Urology 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-13
1023591781 Temple Faculty Practice Plan, Inc Otolaryngology 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-10
1154804839 Temple Faculty Practice Plan, Inc Physical Therapist 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-10
1902389646 Temple Faculty Practice Plan, Inc Neurological Surgery 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-10
1245713908 Temple Faculty Practice Plan, Inc Orthopaedic Surgery 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-10
1093298887 Temple Faculty Practice Plan, Inc Psychiatry & Neurology 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225640519 Desirea Grant Registered Nurse 2000 W. Venango Street, Phila, PA 19140 2020-08-19
1306316104 Carmen Doumit Dentist 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 2018-12-05
1780150375 Samantha Marina Felix Counselor 3803-3805 N 5th St, Philadelphia, PA 19140 2018-10-22
1518485135 Holly Marie Barbee Dietitian, Registered 4417 N 6th St., Philadelphia, PA 19140 2017-09-04
1033630892 Jessica Anne Tang Otolaryngology 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 2017-07-03
1710416870 Narsis Aminian Internal Medicine 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 2017-06-12
1629527338 Alaa Khatib Pharmacist 4616-4650 N. Broad Street, Philadelphia, PA 19140 2016-09-23
1548716160 Direct Home Health Care In Home Supportive Care 3550 N 9th St, Philadelphia, PA 19140 2016-09-01
1306399225 Zaima Choudhry Student in an Organized Health Care Education/Training Program Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 2016-07-27
1891145504 Saji Mathew Pharmacist 4530n 5th Street, Philadelphia, PA 19140 2016-06-14
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841798121 Coordinated Health of Penn, LLC Internal Medicine 1700 Market St Ste 1005a104, Philadelphia, PA 19103-3913 2018-01-31
1124409826 Sanjog Kalra Internal Medicine 5501 Old York Road, 3rd Floor Levy Building, Albert Einstein Medical Center-division of Cardiology, Philadelphia, PA 19141 2015-06-18
1821069659 Manoj Khandelwal Internal Medicine 5735 Ridge Ave Ste 100a, Philadelphia, PA 19128-1746 2006-01-30
1851854517 Cpa Care of Penn II, LLC Internal Medicine 1700 Market St Ste 1005a104, Philadelphia, PA 19103-3913 2019-04-10
1679036339 Cpa Care of Penn, LLC Internal Medicine 1700 Market St Ste 1005a104, Philadelphia, PA 19103-3913 2019-04-10
1225576978 Clinical Nephrology Assoc Inc PC Internal Medicine 235 N Broad St, Suite 100, Philadelphia, PA 19107 2017-02-02
1043758790 Metropolitan Nephrology Associates, PC Internal Medicine 235 N Broad St, Suite 100, Philadelphia, PA 19107 2017-02-02
1316388853 Edo Birati Internal Medicine 3400 Spruce St, Philadelphia, PA 19104-4206 2013-07-12
1881990281 The Cardiology Group, P.a. Internal Medicine 51 N 39th St, Philadelphia, PA 19104-2640 2011-02-02
1992936306 Taisei John Kobayashi Internal Medicine 3400 Spruce St, Philadelphia, PA 19104-4206 2009-08-03
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Competitor

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City PHILADELPHIA
Zip Code 19140

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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