National Provider Identifier Database

GURBHUSHAN S BASRA, MD – NPI #1043391311
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

GURBHUSHAN S BASRA, MD
101 SAINT ANDREWS LN
GLEN COVE, NY11542-2254
Phone: 516-674-7540
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for GURBHUSHAN S BASRA

NPI Number 1043391311
Credentials MD
Entity Individual
Enumeration date 10/17/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 159751-1
  • NY Medicaid: 00847461
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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