Individual provider · Type 1 NPI

Reneeta Basu, DO

Family Medicine Physician · Lilburn, GA

NPI number 1003235417 Active

Practice location

615 Beaver Ruin Rd NW
Lilburn, GA 30047-3401

Call (770) 935-8616 Map

Mailing address

1365 Clifton Rd NE
Atlanta, GA 30322-1013

Other practice locations

  • 2007 Palm Beach Lakes Blvd, West Palm Beach, FL 33409 · (561) 420-8555
  • 1500 Fifth Ave, Mckeesport, PA 15132-2422 · (412) 664-2167
  • 1500 Fifth Ave, Mckeesport, PA 15132-2422 · (412) 664-2167

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XOT015694 (PA)
Family Medicine Physician 207Q00000XOS16141 (FL)
Family Medicine Physician Primary 207Q00000X85232 (GA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1003235417

Reneeta Basu, DO's National Provider Identifier is 1003235417, issued on Apr 14, 2014. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Lilburn, GA. The record was last updated on Dec 3, 2025.