Hridendra N Basu, MD
Internal Medicine in Waterloo, IA. Individual provider (NPI-1).
NPI number1366428559
StatusActive
Last updated in NPPESMay 17, 2012
Details
- NPI
- 1366428559
- Entity type
- Individual (NPI-1)
- Name
- Hridendra N Basu
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 20, 2005
- Last updated
- May 17, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 19212 | IA | Yes |
Practice location
146 W Dale StSuite 201
Waterloo, IA 50703-1901
Phone 319-234-4431 · Fax 319-235-5004
Mailing address
146 W Dale StSuite 201
Waterloo, IA 50703-1901
Phone 319-234-4431 · Fax 319-235-5004
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