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Individual

DR. ASHISH KUMAR BASU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2424 DANVILLE RD SW, SUITE L, DECATUR, AL 35603-4280
(256) 351-0688
(256) 353-8894
Mailing address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 539-4080
(256) 539-4099

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
22653
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051509636
AL
01
060068573
RAILROAD MEDICARE
05
112943
AL
05
112947
AL
05
112949
AL
05
112953
AL
05
112956
AL
05
112957
AL
01
25-10769
UNITED HEALTHCARE
01
4041982
BCBS
TN
01
4469236
AETNA
01
510-49221
BCBS
AL
01
510-49222
BCBS
AL
01
515-98439
BCBS
AL
01
515-98440
BCBS
AL
01
515-98442
BCBS
AL
01
515-98443
BCBS
AL
01
51509636
BCBS
AL
Enumeration date
01/24/2006
Last updated
09/25/2009
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