Basu, Dhiman

Basu, Dhiman is an individual health care provider with primary practice located at 5009 Heritage Ave , Colleyville TX 76034-5913. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Basu, Dhiman can be contacted via phone (817) 590-0880.

Contact Information

Primary practice address
5009 Heritage Ave Colleyville TX 76034-5913
Phone: (817) 590-0880
Fax: (817) 590-0199
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301085466 Michigan
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 4301085466 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X M7849 Texas

Profile Details

NPI number 1336266964
LBN Legal business name Basu, Dhiman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Mar 1st, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336266964 NPPES
Texas MEDICAID 191467301

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