Individual
DR. DENNIS BASKARAN CHAIRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 HITT ST, COLUMBIA, MO 65212-0001
(573) 882-8788
(573) 882-3131
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2012005494
MO
207RP1001X
Pulmonary Disease Physician
2012005494
MO
Other
Enumeration date
05/02/2008
Last updated
04/18/2023
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