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1265404578

NPI Code Detail

MEDICARE: DR. RANITA BASU MD

MEDICARE: DR. RANITA BASU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	MD- 070067 L	PA
2	2084P0805X	Geriatric Psychiatry Physician	MD- 070067L	PA

General Provider Information

NPI Number	:	1265404578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RANITA BASU MD

Provider Business Mailing Address
First Line	:	7180 HIGHLAND DR
Second Line	:	BUILDING 1, 5TH FLOOR
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-1206
Country	:	US
Telephone Number	:	412-954-4294
Fax Number	:

Provider Business Practice Location Address
First Line	:	7180 HIGHLAND DR
Second Line	:	BUILDING 1, 5TH FLOOR
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-1206
Country	:	US
Telephone Number	:	412-954-4294
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	02/26/2009

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Directions to “ DR. RANITA BASU MD” Practice Location

Language	Start Address	Practice Location

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