Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samir Basata MD

Organization Urology Physician · NPI 1093171191

Samir Basata MD is an Urology Physician in Burton, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016

Practice location Address checks out

1501 S Center Rd Bldg B
Burton, MI 48509-1731
Phone: (810) 742-3400
Fax: (810) 742-2534
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 4301057189 (MI)

Record details

NPI number1093171191
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samir Basata — Owner · (810) 742-3400
NPI enumeratedJanuary 6, 2016
Last updated in NPPESJanuary 6, 2016
Mailing address1501 S Center Rd, Building B, Burton, MI 48509-1731

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