Organization
TAPENDU K BASU MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAPENDU K BASU MD (MEDICAL DIRCECTOR)
(410) 386-9099
Entity
Organization
Contact information
Practice address
680 POOLE RD, STE B, WESTMINSTER, MD 21157-6003
(410) 386-9099
(410) 386-9098
Mailing address
680 POOLE RD, STE B, WESTMINSTER, MD 21157-6003
(410) 386-9099
(410) 386-9098
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
D0058397
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1B16TK61494803
BC - MD
MD
01
—
4002258
UHC - PPO
MD
01
—
6687034
UHC HMO
MD
01
—
F7800001
BC - DC METRO
MD
Enumeration date
04/10/2009
Last updated
04/10/2009
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