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DR. ANJULI BASU M.D.

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1679583579

Individual Registrant:
DR. ANJULI  BASU M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
100 DRAKES LANDING RD # A SUITE 225 GREENBRAE, CA 94904-2404 US
Tel: 415-924-1214  Fax: 415-924-1375

Contact information for business:
100 DRAKES LANDING RD # A SUITE 225 GREENBRAE, CA 94904-2404 US
Tel: 415-924-1214  Fax: 415-924-1375

Registration Information:
NPI: 1679583579
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
CAA77943
N208000000XAllopathic & Osteopathic Physicians
Pediatrics
CAA77943

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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