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IFATH G. BASHIRUDDIN M.D.S.C.
NPI 1821287293
Specialist in Belleville, IL

Active since October 22, 2007
4550 MEMORIAL DR, SUITE 410, BELLEVILLE, IL 62226(618) 234-8246(618) 234-8271 Get Directions Write a Review

NPPES record last updated: November 5, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ifath G. Bashiruddin M.d.s.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IFATH G. BASHIRUDDIN M.D.S.C. (NPI 1821287293) is a healthcare organization registered as a specialist in Belleville, Illinois and active in the NPI registry since October 2007. The organization lists Deborah Haake, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1821287293
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameIFATH G. BASHIRUDDIN M.D.S.C.
Location Address4550 MEMORIAL DR, SUITE 410Belleville, IL 62226-5359
Mailing Address3415 Saluki Woods RdBelleville, IL 62223-7017 · (618) 234-8246 · Fax (618) 234-8271
Phone(618) 234-8246
Fax(618) 234-8271
Organization SubpartNo
Authorized OfficialDeborah HaakeBusiness Manager · (618) 234-8246
Enumeration DateOctober 22, 2007
Last NPPES UpdateNovember 5, 2007
✔ NPI 1821287293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4550 MEMORIAL DR, Belleville, IL 62226
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Other Identifiers 1

Medicare UPINC75993IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DEANNA L. RODENBERG NP
Nurse Practitioner
4550 MEMORIAL DR, STE. 340
BELLEVILLE, IL 62226
St. Clair County (618) 257-6200
SHEIKH M SADIQ MD
Psychiatry & Neurology (Neurology)
4550 MEMORIAL DR, SUITE 340
BELLEVILLE, IL 62226
St. Clair County (618) 257-4243
DR. DWIGHT WILLIAM O'DELL M.D.
Obstetrics & Gynecology (Gynecology)
4550 MEMORIAL DR, STE 200
BELLEVILLE, IL 62226
St. Clair County (618) 233-5998
MEMORIAL MEDICAL GROUP, LLC
Internal Medicine
4550 MEMORIAL DR, STE. 340
BELLEVILLE, IL 62226
St. Clair County (618) 257-6302
BELLEVILLE ORTHOPEDICS, P.C.
Specialist
4550 MEMORIAL DR, SUITE 460
BELLEVILLE, IL 62226
St. Clair County (618) 235-2900
MSA ALLIANCE, LLC
Urology
4550 MEMORIAL DR, STE 350
BELLEVILLE, IL 62226
St. Clair County (618) 239-9690
LAKSHMI R. BEERAVOLU MD
Psychiatry & Neurology (Clinical Neurophysiology)
4550 MEMORIAL DR, STE. A480
BELLEVILLE, IL 62226
St. Clair County (618) 234-4531
CA GROUP, LLC
Internal Medicine (Cardiovascular Disease)
4550 MEMORIAL DR, STE 310
BELLEVILLE, IL 62226
St. Clair County (618) 257-6112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ifath G. Bashiruddin M.D.S.C.'s NPI number?

The NPI number for Ifath G. Bashiruddin M.D.S.C. is 1821287293. It was assigned to this organization in the NPPES registry on October 22, 2007.

Where is Ifath G. Bashiruddin M.D.S.C. located?

Ifath G. Bashiruddin M.D.S.C. is located at 4550 Memorial Dr Suite 410, Belleville, IL 62226. The listed phone number is (618) 234-8246.

What is Ifath G. Bashiruddin M.D.S.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Ifath G. Bashiruddin M.D.S.C. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Ifath G. Bashiruddin M.D.S.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ifath G. Bashiruddin M.D.S.C. was last updated on November 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.