DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RENEETA BASU, D.O.

Active Sole Proprietor

DR. RENEETA BASU, D.O. is a Family Medicine healthcare provider located in LILBURN, Georgia. NPI 1003235417 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · LILBURN, GA

Registration Details

NPI Number
1003235417
Provider Type
Individual
Gender
Female
NPI Issued
Apr 14, 2014 (12.335900176751 yrs)
Last Updated
Dec 3, 2025
Licenses
OT015694 (PA)
OS16141 (FL)
85232 (GA)
Sole Proprietor
Yes

Practice Information

Address
615 BEAVER RUIN RD NW
LILBURN, GA, 300473401
Browse GA providers · Browse ZIP 30047
Phone
7709358616
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine

Other Family Medicine Providers in LILBURN, GA

Name Credential NPI
DR. KIRPICH JOSEPH M.D. 1750373023
DR. SCOTT T KELLER DO 1609861830
DR. HARVEY JAY SCHECTER D.O. 1821051970
DR. PADMINI GUNADEVA MD 1962451849
WILLIAM J ANDERSON M. D. 1720192925
DEAN S ATTAWAY M. D. 1013021229
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.