Individual
MURALIDHARAN R BASKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16021 KAIROS ROAD, SUITE A, COLONIAL HEIGHTS, VA 23834-5205
(804) 415-8966
(804) 451-1852
Mailing address
11525 SINKER CREEK DR, CHESTER, VA 23836-5427
(804) 731-9367
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101242053
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891088449
GROUP NPI
VA
Enumeration date
06/08/2006
Last updated
11/06/2015
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