Basu, Hridendra N

Basu, Hridendra N is an individual health care provider with primary practice located at 146 W Dale St Suite 201, Waterloo IA 50703-1901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Basu, Hridendra N can be contacted via phone (319) 234-4431.

Contact Information

Primary practice address
146 W Dale St Suite 201 Waterloo IA 50703-1901
Phone: (319) 234-4431
Fax: (319) 235-5004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19212 Iowa

Profile Details

NPI number 1366428559
LBN Legal business name Basu, Hridendra N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated May 17th, 2012 - about 12 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 1366428559 NPPES
Iowa MEDICAID 1366428559
Iowa MEDICAID 0121236
Iowa Other 110115793

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