National Provider Identifier Database

MANREET BASRA, MD – NPI #1114157484
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

MANREET BASRA, MD
1801 E MARCH LN STE D400
STOCKTON, CA95210-6675
Phone: 209-464-3615
Fax:
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for MANREET BASRA

NPI Number 1114157484
Credentials MD
Entity Individual
Enumeration date 07/21/2009
Last updated 01/24/2019 - About 7 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: C137215
  • TX License #: P9302
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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