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Sudeshna Basu, MD
Student in an Organized Health Care Education/Training Program in Hartford, Connecticut
NPI 1861683039

Sudeshna Basu is a Student in an Organized Health Care Education/Training Program based in Boston, CT. Sudeshna Basu practices in Hartford, CT and has the professional credentials of MD. The NPI Number for Sudeshna Basu is 1861683039 and holds a License No. 049663 (Connecticut).

The current practice location address for Sudeshna Basu is 200 Retreat Avenue, Hartford, CT and can be reached out via phone at 860-545-7493.

Location: 200 Retreat Avenue, Hartford, CT, 02241-5933
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861683039
Provider Name
Sudeshna Basu
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
200 Retreat Avenue, Hartford, CT, 02241-5933
Phone Number
860-545-7493
Fax Number
Provider Enumeration Date
08/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001496637 05 CT
institution
Provider Business Practice Location Address Details
Address
200 Retreat Avenue
City
Hartford
State
Connecticut
Zip
06106-3310
Phone Number
860-545-7493
Fax Number
person
Provider Business Mailing Address Details
Address
200 Retreat Avenue
City
Hartford
State
Connecticut
Zip
06106-3310
Phone Number
860-545-7493
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
2084P0804X
License No.
()
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
049663 (Connecticut)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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