Individual
KIM A BASU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
PO BOX 1358, PROVIDENCE, RI 02901-1358
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD10408
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110242676
RAILROAD MEDICARE
RI
05
—
9021988
—
RI
Enumeration date
06/16/2006
Last updated
03/14/2018
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