Individual
DR. PATRICK BASU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6735 CONROY RD STE 223, ORLANDO, FL 32835-3570
(407) 203-2377
(407) 203-8811
Mailing address
9534 WICKHAM WAY, ORLANDO, FL 32836-5524
(917) 226-0284
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
190318
NY
207RG0100X
Gastroenterology Physician
51337
KY
207RG0100X
Gastroenterology Physician
Primary
ME135670
FL
207RI0008X
Hepatology Physician
190318
NY
207RI0008X
Hepatology Physician
ME135670
FL
207RT0003X
Transplant Hepatology Physician
ME135670
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09659P
HIP OF NY
NY
01
—
111517
VYTRA
—
01
—
1424916
UNITED HEALTH CARE
—
01
—
166115
ELDERPLAN
—
01
—
190318A33
HEALTH FIRST
—
01
—
218509
WELLCARE
—
01
—
2499388
GHI PPO
—
01
—
5044440
AETNA
NY
01
—
60H103
BCBS
NY
01
—
693723
FIRST HEALTH
—
01
—
76220
GHI HMO
—
01
—
HEALTH NET
4C2929
—
01
—
P627420
OXFORD HP
—
Enumeration date
12/07/2005
Last updated
11/06/2019
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