Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDUARDO LAMAS BASULTO, MD
ActivePain Medicine (PM&R) · STONECREST, GA
Registration Details
- NPI Number
- 1992364806
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2019 (6.854704370111 yrs)
- Last Updated
- Jun 25, 2024
- License
-
100573 (GA)
Practice Information
- Address
-
8225 MALL PKWYSTONECREST, GA, 300386994Browse GA providers · Browse ZIP 30038
- Phone
- 7704823241
- Primary Specialty
-
Pain Medicine (PM&R)
2081P2900X
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.