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

DR. ANJAN MANDYAM BASOOR, MD

Active

DR. ANJAN MANDYAM BASOOR, MD is a Diagnostic Radiology healthcare provider located in FREDERICKSBURG, Virginia. NPI 1649512054 is currently active in the NPPES registry. Verify at CMS.

Diagnostic Radiology · FREDERICKSBURG, VA

Registration Details

NPI Number
1649512054
Provider Type
Individual
Gender
Male
NPI Issued
Mar 24, 2013 (13.425218609018 yrs)
Last Updated
Feb 19, 2026
Licenses
0101287045 (VA)
ME161368 (FL)
A134629 (CA)
319700 (NY)

Practice Information

Address
1001 SAM PERRY BLVD
FREDERICKSBURG, VA, 224014453
Browse VA providers · Browse ZIP 22401
Phone
4074156105
Primary Specialty
Diagnostic Radiology
2085R0202X
Additional Specialty
Diagnostic Radiology
Additional Specialty
Diagnostic Radiology
Additional Specialty
Diagnostic Radiology

Other Diagnostic Radiology Providers in FREDERICKSBURG, VA

Name Credential NPI
SHASHANK C PAREKH M.D. 1780674135
DR. STACY JAMES MOULTON M.D. 1356332449
AYE MIN MD 1215914130
HEATHER L. NEWMAN M.D. 1386602514
GEORGE FISH M.D. 1821047077
KEVIN PERUSSE M.D. 1477502508
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.