Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D87864 | MD |
N | 111NI0900X | Internist | D87864 | MD |
Y | 207RC0200X | Critical Care Medicine | D87864 | MD |
N | 207RP1001X | Pulmonary Disease | D87864 | MD |
NPI | 1083844559 |
---|---|
Provider Name | Dr. Suresh Basnet |
First Address | Baltimore, MD 21264-4442 |
Second Address | Baltimore, MD 21201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2009 |
Last Update Date | 17/09/2019 |