Basu, Sudeshna

Basu, Sudeshna is an individual health care provider with primary practice located at 200 Retreat Avenue Hartford Hospital Child Psychiatry, Hartford CT 06106-3310. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Basu, Sudeshna can be contacted via phone (860) 545-7493.

Contact Information

Primary practice address
200 Retreat Avenue Hartford Hospital Child Psychiatry Hartford CT 06106-3310
Phone: (860) 545-7493
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 049663 Connecticut
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1861683039
LBN Legal business name Basu, Sudeshna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2007
Last updated Apr 2nd, 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 1861683039 NPPES
Connecticut MEDICAID 001496637

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