Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since December 12, 2005
2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTER, FT MEADE, MD 20755(301) 677-8270 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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
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

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.

Registered Nurse (Ambulatory Care)
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Social Worker (Clinical)
2480 LLEWELLYN AVE
FORT MEADE, MD 20755
Licensed Vocational Nurse
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Optometrist
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Social Worker (Clinical)
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Physician Assistant
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Nurse's Aide
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Social Worker (Clinical)
2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTER
FORT GEORGE G MEADE, MD 20755

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 Manjula Basu's NPI number?

The NPI number for Manjula Basu is 1720063803. It was assigned to this individual provider in the NPPES registry on December 12, 2005.

Where is Manjula Basu located?

Manjula Basu practices at 2480 Llewellyn Ave Kimbrough Ambulatory Care Center, Ft Meade, MD 20755. The listed phone number is (301) 677-8270.

What is Manjula Basu's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Manjula Basu was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.