Ifath G. Bashiruddin M.D.S.C.

Ifath G. Bashiruddin M.D.S.C. is a healthcare organization registered as Specialist in Belleville, IL, holding Type 2 (organization) NPI 1821287293 since 2007. The authorized official on file is Deborah Haake, Business Manager.

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NPI	1821287293
Entity type	Organization (Type 2)
Legal business name	Ifath G. Bashiruddin M.D.S.C.
Practice address	4550 MEMORIAL DR, SUITE 410, Belleville, IL, 62226
Phone	6182348246
Fax	6182348271
Enumeration date	2007-10-22
Last updated in NPPES	2007-11-05

Authorized official

Name	Deborah Haake
Title	Business Manager
Phone	6182348246

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
174400000X	Specialist	Primary	—	IL

Copy-ready billing details

Provider: Ifath G. Bashiruddin M.D.S.C.
NPI: 1821287293
Taxonomy: 174400000X (Specialist)
Address: 4550 MEMORIAL DR, SUITE 410, Belleville, IL, 62226

Providers at this address

NPI	Name	Type	Specialty	Location
1437148723	Mark Deemer	Individual	Athletic Trainer	Belleville, IL
1164474102	Sheikh Sadiq	Individual	Neurology Physician	Belleville, IL
1194770933	Dwight O'Dell	Individual	Gynecology Physician	Belleville, IL
1417060534	Ifath Bashiruddin	Individual	Nephrology Physician	Belleville, IL
1639271513	Dwight O'Dell, M.D., Ltd.	Organization	Gynecology Physician	Belleville, IL
1700973674	Michael Guignon	Individual	Urology Physician	Belleville, IL
1275618480	Belleville Orthopedics, P.C.	Organization	Specialist	Belleville, IL
1558580852	Behfar Dianati	Individual	Hospitalist Physician	Belleville, IL

Verify this record

Cross-check NPI 1821287293 against the authoritative CMS record: view Ifath G. Bashiruddin M.D.S.C. on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-11-05. Verify at npiregistry.cms.hhs.gov.

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

The practice location on file with NPPES is in Belleville, IL.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-11-05.