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NPI Code Detail

MEDICARE: ANAND BASI M.D.

MEDICARE: ANAND BASI M.D.
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
1207R00000XInternal Medicine PhysicianL5242TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1L5242OTHERTXMEDICAL LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639270291
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANAND BASI M.D.
Provider Business Mailing Address
First Line : 211 S COLLEGE AVE
Second Line :
City : CLEVELAND
State : TX
Zip : 77327-4503
Country : US
Telephone Number : 281-592-8622
Fax Number : 281-595-8699
Provider Business Practice Location Address
First Line : 211 S. COLLEGE AVE.
Second Line :
City : CLEVELAND
State : TX
Zip : 77327-4503
Country : US
Telephone Number : 281-592-8622
Fax Number : 281-592-8699
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 09/08/2011

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