Individual
ABHIJIT BASU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1940 NE 47TH ST, SUITE 1, FT LAUDERDALE, FL 33308-7711
(954) 772-4553
(954) 771-2372
Mailing address
1940 NE 47TH ST, SUITE 1, FT LAUDERDALE, FL 33308-7711
(954) 772-4553
(954) 771-2372
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME92926
FL
208C00000X
Colon & Rectal Surgery Physician
ME92926
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03577
BLUE CROSS BLUE SHIELD
FL
01
—
2696731
CIGNA
FL
01
—
298286
AVMED
FL
01
—
53733
NEIGHBORHOOD HEALTH
FL
01
—
7276705
AETNA
—
01
—
I36343
VISTA
FL
01
—
P00268555
RAILROAD MEDICARE
FL
Enumeration date
10/13/2005
Last updated
11/14/2012
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