DR. LAKSHMI BASU


Address: 931 Bank St., New London, CT 06320-2702
Phone: 8604472233

DR. LAKSHMI BASU (NPI# 1043427115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043427115
Entity Type Individual
Full Name DR. LAKSHMI BASU
Credential M.D.
Practice Address 931 Bank St.
New London
CT 06320-2702
Practice Telephone 8604472233
Practice Fax Number 8604472669
Mailing Telephone 8604472233
Mailing Fax Number 8604472669
Enumeration Date 2007-05-17
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0401X Family Medicine
Specialization: Addiction Medicine
018867 CT Allopathic & Osteopathic Physicians

Office Location

Street Address 931 BANK ST.
City NEW LONDON
State CT
Zip Code 06320-2702

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1922427541 Corina Vendetto Registered Nurse 245 Shaw St., New London, CT 06320 2014-04-10
1912329962 Janelle Posey-green Social Worker 302 State St., Suite 201, New London, CT 06320 2014-01-10
1750622692 Cynthia Mitchell Social Worker 65b Michael Rd, New London, CT 06320 2013-03-01
1518254507 Simon J Shapiro Physical Medicine & Rehabilitation 190 Howard Avenue, New London, CT 06320 2011-06-29
1184876708 Jane P Genido-trujillo Nurse Practitioner 270 Mohegan Ave., Student Health Services, New London, CT 06320 2008-10-14
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Taxonomy Information

Taxonomy Code 207QA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Addiction Medicine

Taxonomy Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972127678 Sound Recovery, Inc Family Medicine 110 Pellegrino Rd, Stonington, CT 06378-2129 2020-05-29
1083022230 Staywell Health Care Inc Family Medicine 402 E Main St, Waterbury, CT 06702-1701 2014-07-31
1710312368 Connecticut Addiction Medicine, LLC Family Medicine 546 Cromwell Ave, Suite 101, Rocky Hill, CT 06067-1800 2013-09-13
1275608879 Christina Kolade Family Medicine 3851 Main St, Bridgeport, CT 06606-2864 2006-11-21
1972686707 Virgil T Rona Family Medicine 500 Vine Street, Blue Hills Hosptial, Hartford, CT 06112 2006-10-23
1043239783 Thomas R Defanti Family Medicine 75 Swantown Hl, North Stonington, CT 06359-1022 2006-07-19
1720017056 Jay B Benson Family Medicine 546 Cromwell Ave, Suite 101, Rocky Hill, CT 06067-1800 2006-06-30
1215993993 Richard D Smith Family Medicine 320 Pomfret St, Putnam, CT 06260-1836 2006-04-22

Competitor

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City NEW LONDON
Zip Code 06320

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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