Active NPIOrganization

Shantanu Basu MD PC

Specialist in Roxbury Crossing, Massachusetts

NPI Number1073795639
Practice location
125 Parker Hill Ave, Suite 385, Roxbury Crossing, MA 02120-2847
Fax
617-232-1660
Last updated
December 5, 2007

Shantanu Basu MD PC is a healthcare organization based in Roxbury Crossing, MA. Shantanu Basu MD PC practices in Roxbury Crossing, MA. The NPI Number for Shantanu Basu MD PC is 1073795639 and holds a License No. 44318 (MA). The current practice location address for Shantanu Basu MD PC is 125 Parker Hill Ave, Suite 385, Roxbury Crossing, MA 02120-2847 and can be reached out via phone at 617-277-5587 and via fax at 617-232-1660.

Provider Profile Details

NPI Number
1073795639
Provider Name
Shantanu Basu MD PC
Provider Entity Type
Organization
Address
125 Parker Hill Ave, Suite 385, Roxbury Crossing, MA 02120-2847
Phone Number
617-277-5587
Fax Number
617-232-1660
Primary Taxonomy
Specialist · 174400000X
Organization Subpart
Yes
Parent Organization
Shantanu Basu MD PC
Authorized Official
Dr. Shantanu G Basu · General Surgery · 617-277-5587
Other Names
Shantanu Basu MD PC (Former Legal Business Name)
Provider Enumeration Date
December 5, 2007
Last Update Date
December 5, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
125 Parker Hill Ave
Suite 385
Roxbury Crossing, MA 02120-2847
Zip
02120-2847
Phone Number
617-277-5587
Fax Number
617-232-1660
Roxbury Crossing, MA 02120Get directions →

Provider Business Mailing Address Details

Address
125 Parker Hill Ave
Suite 385
Roxbury Crossing, MA 02120-2847
City
Roxbury Crossing
State
MA
Zip
02120-2847
Phone Number
617-277-5587
Fax Number
617-232-1660

License Information

License Number
44318
License State
MA
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shantanu Basu MD PC?

The NPI number of Shantanu Basu MD PC is 1073795639. It was assigned on December 5, 2007 and is currently active in the NPPES registry.

What is the specialty of Shantanu Basu MD PC?

Shantanu Basu MD PC is registered under the primary taxonomy Specialist (code 174400000X), licensed in MA under license number 44318.

Where does Shantanu Basu MD PC practice?

The practice location is 125 Parker Hill Ave, Suite 385, Roxbury Crossing, MA 02120-2847. The office can be reached at 617-277-5587 (phone) or 617-232-1660 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073795639 directly on the NPPES registry website.

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