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MS. ANITA BASU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
125 CYPRESS LAKE BLVD S, MADISON, MS 39110-7316
(601) 898-0275

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
15950
MS

Other

Enumeration date
10/13/2006
Last updated
07/08/2007
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