Organization
BASUDEB SAHA MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASUDEB SAHA MD (MD SC)
(815) 344-0620
Entity
Organization
Contact information
Practice address
4318 W CRYSTAL LAKE RD, SUITE L, MCHENRY, IL 60050-4210
(815) 344-0620
(815) 344-0504
Mailing address
4318 W CRYSTAL LAKE RD, SUITE L, MCHENRY, IL 60050-4210
(815) 344-0620
(815) 344-0504
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036052882
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036052882
—
IL
Enumeration date
02/17/2010
Last updated
06/15/2010
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