Individual
NEVILLE BASMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9145 SPRINGBROOK DR NW, SUITE 200, COON RAPIDS, MN 55433-5885
(612) 871-1145
(612) 870-5491
Mailing address
PO BOX 14909, MINNEAPOLIS, MN 55414-0909
(612) 870-5557
(612) 870-5857
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
33673
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171702200
—
MN
Enumeration date
02/06/2006
Last updated
05/20/2014
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