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SHANTANU BASU MD PC
NPI 1073795639
Specialist in Roxbury Crossing, MA

Active since December 05, 2007
125 PARKER HILL AVE, SUITE 385, ROXBURY CROSSING, MA 02120(617) 277-5587(617) 232-1660 Get Directions Write a Review

NPPES record last updated: December 5, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shantanu Basu Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANTANU BASU MD PC (NPI 1073795639) is a healthcare organization registered as a specialist in Roxbury Crossing, Massachusetts and active in the NPI registry since December 2007. The organization lists Shantanu G Basu, General Surgery, as its authorized official.

NPPES Registry Identity

NPI1073795639
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSHANTANU BASU MD PC
Location Address125 PARKER HILL AVE, SUITE 385Roxbury Crossing, MA 02120-2847
Mailing Address125 Parker Hill Ave, Suite 385Roxbury Crossing, MA 02120-2847 · (617) 277-5587 · Fax (617) 232-1660
Phone(617) 277-5587
Fax(617) 232-1660
Organization SubpartYes
Authorized OfficialShantanu G BasuGeneral Surgery · (617) 277-5587
Enumeration DateDecember 5, 2007
✔ NPI 1073795639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MA · 44318
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
125 PARKER HILL AVE, Roxbury Crossing, MA 02120
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Other Names 1

Former Legal Business NameShantanu Basu Md Pc

Other Identifiers 1

Medicaid0129127MA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JUDITH ANN WALIGUNDA M.D.
Internal Medicine
125 PARKER HILL AVE, SUITE #450
ROXBURY CROSSING, MA 02120
Suffolk County (617) 754-5910
BOSTON CARDIOVASCULAR ASSOCIATES, P.C.
Internal Medicine (Cardiovascular Disease)
125 PARKER HILL AVE, STE 500
ROXBURY CROSSING, MA 02120
Suffolk County (617) 735-9200
MISS AMY HANSON
Physical Therapist
125 PARKER HILL AVE
ROXBURY CROSSING, MA 02120
Suffolk County (617) 754-5500
KIMBERLY LICHING KIT CASTRO PT
Physical Therapist
125 PARKER HILL AVE, CONVERSE 6 PT GYM
ROXBURY CROSSING, MA 02120
Suffolk County (617) 754-5626
RICHARD R. GUILLAUME CRNA
Nurse Anesthetist, Certified Registered
125 PARKER HILL AVE
BOSTON, MA 02120
Suffolk County (617) 667-3364
ERIC J. WOODARD, MD PC
Neurological Surgery
125 PARKER HILL AVE, CONVERSE 5
ROXBURY CROSSING, MA 02120
Suffolk County (617) 754-6576
SCOTT G TROMANHAUSER M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
125 PARKER HILL AVE, CONVERSE 4
BOSTON, MA 02120
Suffolk County (617) 754-5470
CHARLES JOSEPH DOW M.D.
Internal Medicine (Cardiovascular Disease)
125 PARKER HILL AVE, FOGG 430
ROXBURY CROSSING, MA 02120
Suffolk County (617) 264-4500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shantanu Basu MD PC's NPI number?

The NPI number for Shantanu Basu MD PC is 1073795639. It was assigned to this organization in the NPPES registry on December 5, 2007.

Where is Shantanu Basu MD PC located?

Shantanu Basu MD PC is located at 125 Parker Hill Ave Suite 385, Roxbury Crossing, MA 02120. The listed phone number is (617) 277-5587.

What is Shantanu Basu MD PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Shantanu Basu MD PC was last updated on December 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.