Basdeo, Luke

Basdeo, Luke is an individual health care provider with primary practice located at 1728 Dunlawton Ave Ste 4 , Port Orange FL 32127-2923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Basdeo, Luke can be contacted via phone (386) 304-8302.

Contact Information

Primary practice address
1728 Dunlawton Ave Ste 4 Port Orange FL 32127-2923
Phone: (386) 304-8302
Fax: (386) 304-8204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME127148 Florida

Profile Details

NPI number 1427491729
LBN Legal business name Basdeo, Luke
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2013
Last updated Mar 31st, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427491729 NPPES
Florida MEDICAID 017894400

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