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Individual
DR. SAMATA BASANI
Active
Individual
DR. SAMATA BASANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
068176
GA
207R00000X
Internal Medicine Physician
P5776
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
P5776
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3461097 01
—
TX
01
—
414064YSFZ
MEDICARE PTAN
TX
Enumeration date
07/13/2012
Last updated
09/22/2025
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