Basani, Samata
Basani, Samata is an sole proprietor health care provider with primary practice located at 1153 W John Carpenter Fwy Ste 102 , Irving TX 75039-2524. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Basani, Samata can be contacted via phone (469) 291-0770.Contact Information
Primary practice address
1153 W John Carpenter Fwy Ste 102
Irving TX 75039-2524
Phone: (469) 291-0770
Fax: (888) 443-9001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | P5776 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 068176 | Georgia |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | P5776 | Texas |
Profile Details
| NPI number | 1689929820 |
|---|---|
| LBN Legal business name | Basani, Samata |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2012 |
| Last updated | Jul 13th, 2023 - about 2 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689929820 | NPPES |
| Texas | Other | 414064YSFZ | MEDICARE PTAN |
| Texas | MEDICAID | 3461097 01 | MEDICARE PTAN |
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