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SANGHAMITRA BASU MD PC NPI 1215159306


NPI Information

NPI: 1215159306
Provider Name: SANGHAMITRA BASU MD PC

Doing Business As: SANS PAIN CLINIC

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
2435 FIRE MESA ST
SUITE 110
LAS VEGAS, NV
ZIP 89128
Phone: (702) 362-7246
Get Directions

SANGHAMITRA BASU MD PC is an interventional pain medicine pain medicine in Las Vegas, NV. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. SANGHAMITRA BASU MD PC NPI is 1215159306. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sans Pain Clinic.

The provider's business location address is:

2435 FIRE MESA ST
SUITE 110
LAS VEGAS, NV
ZIP 89128-009
Phone: (702) 362-7246
Fax: (702) 362-7272

The provider's authorized official is Sanghamitra Basu .
The authorized official title is Principal and has the following contact phone number (702) 362-7246.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 4/17/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LP2900XAnesthesiologyPain MedicineNo
2207L00000XAnesthesiologyNo
3207LA0401XAnesthesiologyAddiction MedicineNo
4363L00000XNurse PractitionerNo
5208VP0014XPain MedicineInterventional Pain MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1V103916MEDICARE PINNEVADA
26721620001MEDICARE NSCNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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