# BASANTI MUKERJI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1497725345
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036060643 | IL | — |
| 207R00000X | Internal Medicine Physician | ME76732 | FL | — |
| 207RR0500X | Rheumatology Physician | 036060643 | IL | Yes |

## Other

- **Enumeration date:** 01/24/2006
- **Last updated:** 04/26/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 020057300 | BLACK LUNG | IL |
| 01 | — | 08421024 | BC OF IL | IL |
| 01 | — | 133586700 | ACS-OWCP | IL |
| 01 | — | 14D0435365 | CLIA CFP | IL |
| 01 | — | 14D0949277 | CLIA PGW | IL |
| 01 | — | 6394P | CATERPILLAR | IL |
| 01 | — | CD7143 | RR MEDICARE GRP | IL |