MEDICARE: BABLU KUMAR BASAK 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	207R00000X	Internal Medicine Physician	275848	NY

General Provider Information

NPI Number	:	1518372531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BABLU KUMAR BASAK MD

Provider Business Mailing Address
First Line	:	2000 MCGRAW AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462-8070
Country	:	US
Telephone Number	:	718-822-2240
Fax Number	:	718-822-2246

Provider Business Practice Location Address
First Line	:	2000 MCGRAW AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462-8070
Country	:	US
Telephone Number	:	718-822-2240
Fax Number	:	718-822-2246

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

Provider Enumeration Date	:	06/27/2014
Last Update Date	:	02/26/2026

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