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SANGHAMITRA BASU MD PC

Physicians Anesthesiology Pain Medicine

Provider NPI: 1215159306

Organization Information:
Organization Name:  SANGHAMITRA BASU MD PC
Organization is not Subpart
Authorized Official:  SANGHAMITRA  BASU  PRINCIPAL  702-362-7246

Practice Location:
2435 FIRE MESA ST SUITE 110 LAS VEGAS, NV 89128-9009 US
Tel: 702-362-7246  Fax: 702-362-7272

Business Mailing Address:
6955 N. DURANGO DRIVE STE #1115-301 LAS VEGAS, NV 89149-4411 US
Tel: 702-362-7246  Fax: 702-362-7272

NPI Information:
NPI: 1215159306
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207LP2900XPhysicians
Anesthesiology
Pain Medicine
N207L00000XPhysicians
Anesthesiology
N207LA0401XPhysicians
Anesthesiology
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Y208VP0014XPhysicians
Pain Medicine

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 208VP0014X

Type:

Classification:



Definition:



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