What is Manjula Basu's NPI number?

The NPI number assigned to this healthcare provider is 1720063803, enumerated as a individual on December 12, 2005.

What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 208000000X.

DR. MANJULA BASU M.D. - NPI 1720063803 - Pediatrics in Ft Meade, MD

Q: Where is the provider located?

The provider is located at 2480 LLEWELLYN AVE KIMBROUGH AMBULATORY CARE CENTER FT MEADE, MD 20755 and the phone number is (301) 677-8270.

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About Dr. Manjula Basu M.d. NPPES

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

DR. MANJULA BASU M.D. (NPI 1720063803) is an individual pediatrics provider in Ft Meade, Maryland, licensed in Maryland (D0025252) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1720063803

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. MANJULA BASUCredential: M.D.

Location Address2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTERFt Meade, MD 20755-5800

Mailing Address2480 Llewellyn Ave, Kimbrough Ambulatory Care CenterFt Meade, MD 20755-5800 · (301) 677-8270

Phone(301) 677-8270

Sole ProprietorNo

Enumeration DateDecember 12, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1720063803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MD · D0025252

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2480 LLEWELLYN AVE, Ft Meade, MD 20755

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