DHIMAN BASU (NPI# 1336266964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336266964 |
| Entity Type | Individual |
| Full Name | DHIMAN BASU |
| Credential | MD |
| Practice Address |
5009 Heritage Ave Colleyville TX 76034-5913 |
| Practice Telephone | 8175900880 |
| Practice Fax Number | 8175900199 |
| Mailing Telephone | 8175900880 |
| Mailing Fax Number | 8175900199 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2018-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301085466 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
M7849 | TX | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
4301085466 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 191467301 | 05 |
| Street Address |
5009 HERITAGE AVE |
| City | COLLEYVILLE |
| State | TX |
| Zip Code | 76034-5913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427687029 | Natalie Pachinger | Nurse Practitioner | 5009 Heritage Ave, Colleyville, TX 76034-5913 | 2020-04-06 |
| 1770117996 | Jessica Rodriguez | Physician Assistant | 5009 Heritage Ave, Colleyville, TX 76034-5913 | 2020-02-26 |
| 1053882530 | Heritage Rheumatology & Arthritis Care | Internal Medicine | 5009 Heritage Ave, Colleyville, TX 76034-5913 | 2018-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457967283 | Lumi Eye Care | Optometrist | 3855 Glade Road, Colleyville, TX 76034 | 2020-09-17 |
| 1528552718 | Dental Sc, Pllc | Dentist | 6700 Colleyville Blvd, Colleyville, TX 76034 | 2018-06-20 |
| 1447763503 | Pekam Takusi | Pharmacist | 704 Strauss, Colleyville, TX 76034 | 2017-11-13 |
| 1982128484 | Van Beljon LLC | Chiropractor | 1124 Glade Rd, Suite 140, Colleyville, TX 76034 | 2017-07-27 |
| 1871031120 | Gena Willams | Occupational Therapist | 4113 Gateway Dr #200, Colleyville, TX 76034 | 2017-02-07 |
| 1700255486 | Village Lane Apothecary | Pharmacy | 60 Village Ln, Suite 130, Colleyville, TX 76034 | 2015-09-23 |
| 1679968333 | Amber Robinson | Counselor | 5209 Heritage Ave #210, Colleyville, TX 76034 | 2015-03-31 |
| 1013305978 | Stat Sleep of Colleyville, LLP | Clinic/Center | 6407 Colleyville Blvd Ste B, Colleyville, TX 76034 | 2014-12-30 |
| 1528468717 | Colverse Iom LLC | Neurological Surgery | 1308 Somerset Ct, Colleyville, TX 76034 | 2014-08-26 |
| 1356752703 | Ideal Dental of Colleyville, Pllc | Dentist | 4712 Colleyville Blvd, Suite 110, Colleyville, TX 76034 | 2014-05-19 |
| Find all providers in zip 76034 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053882530 | Heritage Rheumatology & Arthritis Care | Internal Medicine | 5009 Heritage Ave, Colleyville, TX 76034-5913 | 2018-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093335648 | Stelis, Pllc | Internal Medicine | 630 Lakewood Dr, Allen, TX 75002-4700 | 2020-04-23 |
| 1326605924 | Rheumatology of The Woodlands Pllc | Internal Medicine | 9201 Pinecroft Dr Ste 285, Shenandoah, TX 77380-3888 | 2019-05-20 |
| 1720541410 | Christus Health Ark-la-tex | Internal Medicine | 5002 Cowhorn Creek Rd Ste 3218, Texarkana, TX 75503-9766 | 2019-04-09 |
| 1295293108 | Ryan Hall | Internal Medicine | 1340 Wonder World Dr Ste 2203, San Marcos, TX 78666-7791 | 2019-03-10 |
| 1386123461 | Physicians Choice Infusion Clinic Pllc | Internal Medicine | 2700 Tibbets Dr # 301-1, Bedford, TX 76022-5928 | 2018-08-09 |
| 1811483803 | Memorial Advanced Rheumatology Inc | Internal Medicine | 902 Frostwood Dr Ste 208, Houston, TX 77024-2426 | 2018-07-02 |
| 1952812109 | Mpp Infusion Center of Tyler LLC | Internal Medicine | 6115 New Copeland Rd Ste 120.130, Tyler, TX 75703-6369 | 2017-10-16 |
| 1619347671 | Rheumatology Care of North Houston, Pllc | Internal Medicine | 13325 Hargrave Rd Ste 230, Houston, TX 77070-4540 | 2015-10-03 |
| 1083097620 | Advanced Infusions, Pa | Internal Medicine | 11233 Shadow Creek Parkway, Suite 123, Pearland, TX 77584-7345 | 2015-07-01 |
| 1982081915 | Kanika Monga | Internal Medicine | 4191 Bellaire Blvd Ste 250, Houston, TX 77025-1003 | 2015-04-28 |
| Find all providers with the same taxonomy | ||||
| City | COLLEYVILLE |
| Zip Code | 76034 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.