# WAYMARK CARE, NV, BASU, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144965260
- **Authorized official:** AFIA ASAMOAH (ADMINISTRATOR)
- **Authorized official phone:** (617) 872-2989

## Contact information

- **Practice address:** 5150 MAE ANNE AVE STE 405-5079, RENO, NV 89523-1858
- **Practice address phone:** (617) 872-2989
- **Mailing address:** 5150 MAE ANNE AVE STE 405-5079, RENO, NV 89523-1858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2022
- **Last updated:** 06/03/2022