Mohapatra, Basanta K

Mohapatra, Basanta K is an individual health care provider with primary practice located at 3622 Belmont Ave Suite 1, Youngstown OH 44505-1450. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Mohapatra, Basanta K can be contacted via phone (330) 759-9350.

Contact Information

Primary practice address
3622 Belmont Ave Suite 1 Youngstown OH 44505-1450
Phone: (330) 759-9350
Fax: (330) 759-9387
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35078344M Ohio
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 35078344 Ohio

Profile Details

NPI number 1487649836
LBN Legal business name Mohapatra, Basanta K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Mar 9th, 2011 - about 15 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 1487649836 NPPES
Ohio MEDICAID 2215132

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