Basundhra, Saurabh

Basundhra, Saurabh is an individual health care provider with primary practice located at 3359 Kemp Rd Suite 250B, Beavercreek OH 45431-2565. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Basundhra, Saurabh can be contacted via phone (937) 458-4650.

Contact Information

Primary practice address
3359 Kemp Rd Suite 250B Beavercreek OH 45431-2565
Phone: (937) 458-4650
Fax: (937) 458-4659
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35125001 Ohio

Profile Details

NPI number 1689960205
LBN Legal business name Basundhra, Saurabh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2011
Last updated Feb 15th, 2016 - about 9 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 1689960205 NPPES
Ohio MEDICAID 0110986

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