Individual
DR. ASISH K BASU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 VAN BUREN ST, SUITE 206, FOSTORIA, OH 44830-1534
(419) 435-7734
(419) 437-6623
Mailing address
501 VAN BUREN ST, SUITE 206, FOSTORIA, OH 44830-1534
(419) 435-7734
(419) 437-6623
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35064587
OH
207RC0000X
Cardiovascular Disease Physician
Primary
35064587
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000387005
ANTHEM
OH
05
—
0978170
—
OH
01
—
14-52073
UHC
OH
01
—
4528172
AETNA
OH
01
—
P00294496
RRMC
OH
Enumeration date
09/08/2005
Last updated
03/22/2012
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