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:
Health care specialties
| Specialty | Code | License # | 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 3 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 | 1427491729 | NPPES |
| Florida | MEDICAID | 017894400 |
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