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Individual
SHARMILA BASU
Active
Individual
SHARMILA BASU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D,
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A120703
CA
390200000X
Student in an Organized Health Care Education/Training Program
113278
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113278
SID # 113278
CA
01
—
A120703
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
01/24/2012
Last updated
11/29/2021
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