Individual
DR. SANGHAMITRA BASU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2435 FIRE MESA ST, SUITE 110, LAS VEGAS, NV 89128-9009
(702) 362-7246
(702) 362-7272
Mailing address
6955 N DURANGO DR, SUITE 1115-301, LAS VEGAS, NV 89149-4411
(702) 362-7246
(702) 362-7272
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
11401
NV
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
11401
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506996
—
NV
Enumeration date
01/09/2006
Last updated
01/22/2014
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