Basu Mallick, Atrayee
Basu Mallick, Atrayee is an individual health care provider with primary practice located at 1015 Chestnut St Suite 1321, Philadelphia PA 19107-4316. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Basu Mallick, Atrayee can be contacted via phone (215) 923-5676.Contact Information
Primary practice address
1015 Chestnut St Suite 1321
Philadelphia PA 19107-4316
Phone: (215) 923-5676
Fax: (215) 923-7390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MD440064 | Pennsylvania |
Profile Details
| NPI number | 1770802795 |
|---|---|
| LBN Legal business name | Basu Mallick, Atrayee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2010 |
| Last updated | May 26th, 2011 - about 14 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 | 1770802795 | NPPES |
| New Jersey | MEDICAID | 0233242 | |
| New Jersey | MEDICAID | 102474760 |
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