BASEM ALSARRAJ

LUTHERAN MEDICAL GROUP LLC

Dr BASEM ALSARRAJ is a male medical professional, specializing in Psychiatry. He graduated in 2010.

Contact

LUTHERAN MEDICAL GROUP LLC

800 BROADWAY
SUITE 315
FORT WAYNE
IN
468022149

Tel: 2604896030

BASEM ALSARRAJ Information

Npi 1124381942
Pac Id 3173820891
Professional Enrollment Id I20160621000961
Last Name ALSARRAJ
First Name BASEM
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2010
Primary Specialty PSYCHIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LUTHERAN MEDICAL GROUP LLC
Group Practice Pac Id 4981751617
Number Of Group Practice Members 227
Line 1 Street Address 800 BROADWAY
Line 2 Street Address SUITE 315
Marker Of Address Line 2 Suppression
City FORT WAYNE
State IN
Zip Code 468022149
Phone Number 2604896030
Hospital Affiliation Ccn 1 150047
Hospital Affiliation Lbn 1 ST JOSEPH HOSPITAL
Hospital Affiliation Ccn 2 150146
Hospital Affiliation Lbn 2 PARKVIEW NOBLE HOSPITAL
Hospital Affiliation Ccn 3 150017
Hospital Affiliation Lbn 3 LUTHERAN HOSPITAL OF INDIANA
Hospital Affiliation Ccn 4 150006
Hospital Affiliation Lbn 4 LA PORTE HOSPITAL
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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