Individual
DEBARGHA BASULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. , PHD
Contact information
Practice address
2355 W ARLINGTON BLVD, GREENVILLE, NC 27834-2847
(252) 744-2545
(252) 744-1817
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
2023-03488
NC
Other
Enumeration date
03/28/2016
Last updated
02/19/2024
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