Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MANJULA BASU, M.D.
ActiveDR. MANJULA BASU, M.D. is a Pediatrics healthcare provider located in FT MEADE, Maryland. NPI 1720063803 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · FT MEADE, MD
Registration Details
- NPI Number
- 1720063803
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 12, 2005 (20.697859333895 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D0025252 (MD)
Practice Information
- Address
-
2480 LLEWELLYN AVEKIMBROUGH AMBULATORY CARE CENTERFT MEADE, MD, 207555800Browse MD providers · Browse ZIP 20755
- Phone
- 3016778270
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in FT MEADE, MD
| Name | Credential | NPI |
|---|---|---|
| DR. SUSAN A DEMUTH | M.D. | 1730179284 |
| GAIL LYNN MARSTON | M.D. | 1275519027 |
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.