Basu, Manjula
Basu, Manjula is an individual health care provider with primary practice located at 2480 Llewellyn Ave Kimbrough Ambulatory Care Center, Ft Meade MD 20755-5800. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Basu, Manjula can be contacted via phone (301) 677-8270.Contact Information
Primary practice address
2480 Llewellyn Ave Kimbrough Ambulatory Care Center
Ft Meade MD 20755-5800
Phone: (301) 677-8270
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D0025252 | Maryland |
Profile Details
| NPI number | 1720063803 |
|---|---|
| LBN Legal business name | Basu, Manjula |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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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