Individual
DILIP K BASU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2335 CHESTERFIELD AVE, STE 202, CHARLESTON, WV 25304-1066
(304) 346-2284
(304) 346-7470
Mailing address
2335 CHESTERFIELD AVENUE, SUITE 202, CHARLESTON, WV 25301
(304) 346-2284
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
09941
WV
207RC0000X
Cardiovascular Disease Physician
09941
WV
207RI0011X
Interventional Cardiology Physician
Primary
09941
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01064340
MEDICARE RAILROAD
WV
Enumeration date
08/17/2006
Last updated
12/14/2015
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