# DR. SAMATA BASANI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1689929820
- **Gender:** F
- **Credential:** M.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 068176 | GA | — |
| 207R00000X | Internal Medicine Physician | P5776 | TX | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | P5776 | TX | Yes |

## Other

- **Enumeration date:** 07/13/2012
- **Last updated:** 09/22/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3461097 01 | — | TX |
| 01 | — | 414064YSFZ | MEDICARE PTAN | TX |