Individual
SHRISTI BASNYAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3501 HEALTH CENTER BLVD STE 2220, ESTERO, FL 34135-8129
(239) 343-9633
(239) 343-4015
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9633
(239) 343-4015
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207RR0500X
Rheumatology Physician
MD455033
PA
207RR0500X
Rheumatology Physician
Primary
ME141754
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0468631
—
NJ
05
—
103694000
—
FL
Enumeration date
08/28/2007
Last updated
07/14/2025
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