DR. Manjula Basu, M.D.

NPI #1720063803 in Ft Meade, Maryland

Provider Information

NPI Number: 1720063803
Entity Type: Individual
Name: DR. Manjula Basu, M.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Dec 12, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 2480 LLEWELLYN AVE
Address 2: KIMBROUGH AMBULATORY CARE CENTER
City: Ft Meade
State: Maryland
ZIP Code: 20755-5800
Phone: (301) 677-8270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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