Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUPARNA BASU, MD
Active Sole ProprietorSUPARNA BASU, MD is a Psychiatry healthcare provider located in PEORIA, Illinois. NPI 1679719777 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · PEORIA, IL
Registration Details
- NPI Number
- 1679719777
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 21, 2008 (17.688479382905 yrs)
- Last Updated
- Dec 23, 2020
- License
-
036.147481 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
228 NE JEFFERSON AVEPEORIA, IL, 616033802Browse IL providers · Browse ZIP 61603
- Phone
- 3096718005
- Primary Specialty
-
Psychiatry
2084P0800X
Other Psychiatry Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| BRADFORD EMIL COLEN | MD | 1205839883 |
| DR. RYAN FINKENBINE | MD | 1508830969 |
| PETER ALAHI | MD | 1508830951 |
| TIM BRUCE | PHD | 1285608661 |
| MINNA JINN O'LEARY | M.D. | 1871560623 |
| NARAYANA REDDY | M.D. | 1306880281 |
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.