Individual
DR. BASUDEB SAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4318 L CRYSTAL LAKE RD, MCHENRY, IL 60050
(815) 344-0620
(815) 344-0504
Mailing address
4318 L CRYSTAL LAKE RD, MCHENRY, IL 60050
(815) 344-0620
(815) 344-0504
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5600195
BLUE CROSS
IL
Enumeration date
07/12/2006
Last updated
07/08/2007
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