Individual
JASWANT SINGH BASRAON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1313 E HERNDON AVE STE 203, FRESNO, CA 93720-3306
(559) 492-5744
Mailing address
1313 E HERNDON AVE STE 203, FRESNO, CA 93720-3306
(559) 492-5744
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP1-0026266
TX
207R00000X
Internal Medicine Physician
N6161
TX
207RC0000X
Cardiovascular Disease Physician
Primary
11348
CA
207RC0000X
Cardiovascular Disease Physician
57394-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3858891224
MYUTMB 3858891224-COMMERCIAL NUMBER
—
Enumeration date
06/15/2007
Last updated
08/10/2015
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