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Search › Georgia › 207Q00000X

Reneeta Basu, D.O

NPI 1003235417 · on the registry since 2014 · sole proprietor

Practice

Address
615 Beaver Ruin Rd Nw
Lilburn, GA 30047
Phone
(770) 935-8616
Clinicians at this address
3

Additional practice sites

  • 2007 Palm Beach Lakes Blvd, West Palm Beach, FL
  • 1500 Fifth Ave, Mckeesport, PA
  • 1500 Fifth Ave, Mckeesport, PA

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
390200000X
207Q00000X
Licence states on file
PA, FL, GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia