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Contact Information

MANREET BASRA, MD
1801 E MARCH LN STE D400
STOCKTON, CA95210-6675
 Phone: 209-464-3615
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MANREET BASRA · (Female)

NPI Number 1114157484
Status Active
Credentials MD
Entity Individual
Enumeration date 07/21/2009
Last updated 01/24/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # C137215
  • TX License # P9302
Hospital affiliation(s)
  • DAMERON HOSPITAL - (Acute Care)
    525 WEST ACACIA STREET
    STOCKTON, CA 95203
  • LODI MEMORIAL HOSPITAL - (Acute Care)
    975 S FAIRMONT AVENUE
    LODI, CA 95240
  • ST JOSEPHS MED CENTER OF STOCKTON - (Acute Care)
    1800 N CALIFORNIA ST
    STOCKTON, CA 95204
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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