Individual
DR. GURJOT KAUR BASRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2900 2ND AVE, LAKE CHARLES, LA 70601-8906
(337) 480-8994
(337) 480-8993
Mailing address
PO BOX 122539 DEPT 2539, DALLAS, TX 75312-2539
(337) 494-2772
(337) 494-2928
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD207980
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2452266
—
LA
01
—
MD.207980
LSBME
LA
Enumeration date
06/14/2010
Last updated
03/25/2022
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