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NPI Code Detail

MEDICARE: SUSHMA KUMARI BASA M.D.

MEDICARE: SUSHMA KUMARI BASA 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 Physician265331MA

General Provider Information

NPI Number : 1720342181
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSHMA KUMARI BASA M.D.
Provider Business Mailing Address
First Line : PO BOX 415348
Second Line :
City : BOSTON
State : MA
Zip : 02241-5348
Country : US
Telephone Number : 800-225-8885
Fax Number :
Provider Business Practice Location Address
First Line : 26 JULIO DR
Second Line :
City : SHREWSBURY
State : MA
Zip : 01545-3020
Country : US
Telephone Number : 508-842-5594
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2012
Last Update Date : 02/13/2026

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