Provider Demographics
NPI:1679911457
Name:BASSI, NIKHIL SINGH (MD)
Entity type:Individual
Prefix:
First Name:NIKHIL
Middle Name:SINGH
Last Name:BASSI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:520 SUPERIOR AVE STE 325
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-3667
Mailing Address - Country:US
Mailing Address - Phone:949-548-6634
Mailing Address - Fax:949-548-1431
Practice Address - Street 1:520 SUPERIOR AVE STE 325
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3667
Practice Address - Country:US
Practice Address - Phone:949-548-6634
Practice Address - Fax:949-548-1431
Is Sole Proprietor?:No
Enumeration Date:2013-06-13
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA147849207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease