Organization
CHARLESTON HEART SPECIALISTS PLLC
Active
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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