Basak, Tina

Basak, Tina is an individual health care provider with primary practice located at 3400 Spruce St , Philadelphia PA 19104. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Basak, Tina can be contacted via phone (215) 662-3000.

Contact Information

Primary practice address
3400 Spruce St Philadelphia PA 19104
Phone: (215) 662-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A119265 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD463749 Pennsylvania

Profile Details

NPI number 1487966735
LBN Legal business name Basak, Tina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2010
Last updated Oct 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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