Dr. Reneeta Basu
Family Doctor
615 Beaver Ruin Rd Nw
Lilburn
, Georgia 30047-3401
Dr. Reneeta Basu
Family Doctor
615 Beaver Ruin Rd Nw
Lilburn
, Georgia 30047-3401
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Reneeta Basu
- 1365 Clifton Rd Ne
- Atlanta, GA
- Zip : 30322-1013
- Phone :
Second Address
- Dr. Reneeta Basu
- 615 Beaver Ruin Rd Nw
- Lilburn, GA
- Zip : 30047-3401
- Phone : (770) 935-8616
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Is Dr. Reneeta Basu a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | OS16141 | FL |
National Provider Identifier
| NPI | 1003235417 |
|---|---|
| Provider Name | Dr. Reneeta Basu |
| First Address | Atlanta, GA 30322-1013 |
| Second Address | Lilburn, GA 30047-3401 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/04/2014 |
| Last Update Date | 15/03/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.