Individual provider · Type 1 NPI

Manjula Basu, MD

Pediatrics Physician · Fort Meade, MD

NPI number 1720063803 Active

Practice location

2480 Llewellyn Ave, Kimbrough Ambulatory Care Center
Fort Meade, MD 20755-5800

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000XD0025252 (MD)

Pediatrics Physician: 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 de…

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About NPI 1720063803

Manjula Basu, MD's National Provider Identifier is 1720063803, issued on Dec 12, 2005. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Fort Meade, MD. The record was last updated on Jul 13, 2026.