Periyasamy, Basker
Periyasamy, Basker is an individual health care provider with primary practice located at 3051 W Horizon Ridge Pkwy Ste 130 , Henderson NV 89052-4690. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Periyasamy, Basker can be contacted via phone (702) 726-6344.Contact Information
Primary practice address
3051 W Horizon Ridge Pkwy Ste 130
Henderson NV 89052-4690
Phone: (702) 726-6344
Fax: (702) 726-5828
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 13305 | Nevada |
Profile Details
| NPI number | 1821187188 |
|---|---|
| LBN Legal business name | Periyasamy, Basker |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jun 3rd, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821187188 | NPPES |
| Arizona | MEDICAID | 467915 | |
| Arizona | MEDICAID | 1821187188 |
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