Individual
ANJEET KAUR BASUTA SAINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1250 PEACH ST STE B, SAN LUIS OBISPO, CA 93401-2869
(805) 543-4043
(805) 543-7640
Mailing address
1250 PEACH ST STE B, SAN LUIS OBISPO, CA 93401-2869
(805) 543-4043
(805) 543-7640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
285755
NY
207R00000X
Internal Medicine Physician
Primary
A174147
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
285755
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
A174147
CA
Other
Enumeration date
07/31/2013
Last updated
09/18/2024
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