Organization
SUPARNA BASU MD PC
Active
Organization
SUPARNA BASU MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUPARNA BASU (MD)
(516) 232-5732
Entity
Organization
Contact information
Practice address
40886 GOODWIN WAY, MADERA, CA 93636-9900
(516) 232-5732
Mailing address
2609 SUNNY MDWS, MCKINNEY, TX 75072-4054
(516) 232-5732
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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