Individual
SHRUTI BASHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
910 VISTA BLVD, SPARKS, NV 89434-6501
(775) 982-5000
(775) 982-3900
Mailing address
850 HARVARD WAY # T5, RENO, NV 89502-2055
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12952
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11982825
CAQH
—
05
—
1972791614
—
NV
Enumeration date
10/09/2007
Last updated
09/27/2018
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