Organization
CHARLESTON HEART SPECIALISTS PLLC
Active
Other names
Basu Mian Nara
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DILIP K. BASU M.D. (PRESIDENT)
(304) 346-2284
Entity
Organization
Contact information
Practice address
2335 CHESTERFIELD AVE, SUITE 202, CHARLESTON, WV 25304-1066
(304) 346-2284
(304) 346-6590
Mailing address
2335 CHESTERFIELD AVE, SUITE 202, CHARLESTON, WV 25304-1066
(304) 346-2284
(304) 346-6590
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
09941
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0044715000
—
WV
05
—
0078744000
—
WV
05
—
0087142000
—
WV
Enumeration date
06/18/2008
Last updated
02/10/2010
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