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General NPI Number Information
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NPI Number | 1073707501
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Entity Type | Individual
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Provider Name | SHRISTI BASNYAT MD
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Gender | Female
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 3501 HEALTH CENTER BLVD STE 2220
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City | ESTERO
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State | FL
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Zip | 34135-8129
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Country | US
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Telephone | 239-343-9633
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Fax | 239-343-4015
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Provider Business Mailing Address
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Address Line | PO BOX 2147
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City | FORT MYERS
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State | FL
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Zip | 33902-2147
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Country | US
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Telephone | 239-343-9633
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Fax | 239-343-4015
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MD455033
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | ME141754
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License Number State | FL
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