Individual provider · NPI-1
Dr. Adhish Basu, M.D., M.S.
Surgery · Southfield, MI
NPI number1679729693
StatusActive
Last updated in NPPESAug 10, 2008
Details
- NPI
- 1679729693
- Entity type
- Individual (NPI-1)
- Name
- Dr. Adhish Basu
- Credential
- M.D., M.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 10, 2008
- Last updated
- Aug 10, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 4301092390 | MI | Yes |
Practice location
16001 W 9 Mile RdDepartment Of General Surgery
Southfield, MI 48075-4818
Phone 248-849-8092
Mailing address
16500 N Park DrApt 718
Southfield, MI 48075-4735
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