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

Ifath G Bashiruddin, MD

Individual provider Nephrology Physician · NPI 1417060534

Ifath G Bashiruddin, MD is a Nephrology in Belleville, Illinois. Qualified in 1977, 49 years ago. Practices with Rashid a Dalal MD PC, a 5-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
49
Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4550 Memorial Dr Ste 360
Belleville, IL 62226-5359
Phone: (618) 239-9500
Fax: (618) 239-9555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 036085731 (IL)

Record details

NPI number1417060534
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 15, 2006
Last updated in NPPESJanuary 31, 2012
Mailing address7 Beaver Creek Ct, Saint Charles, MO 63303-5497

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Group practice Rashid A Dalal Md Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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