Organization
SANGHAMITRA BASU MD PC
Active
Other names
Sans Pain Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANGHAMITRA BASU M.D. (PRINCIPAL)
(702) 362-7246
Entity
Organization
Contact information
Practice address
2435 FIRE MESA ST, SUITE 110, LAS VEGAS, NV 89128-9009
(702) 362-7246
(702) 362-7272
Mailing address
6955 N. DURANGO DRIVE, STE #1115-301, LAS VEGAS, NV 89149-4411
(702) 362-7246
(702) 362-7272
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LA0401X
Addiction Medicine (Anesthesiology) Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/02/2007
Last updated
04/17/2014
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