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DR. ANJULI BASU M.D.
>> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1679583579
Individual Registrant:DR. ANJULI BASU M.D.
Gender: F
Not Sole Proprietor
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
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
Tel: 415-924-1214 Fax: 415-924-1375
Registration Information:
NPI: 1679583579
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207R00000X | Allopathic & Osteopathic Physicians Internal Medicine | CA | A77943 |
| N | 208000000X | Allopathic & Osteopathic Physicians Pediatrics | CA | A77943 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
