Basudeb Saha MD SC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036052882 Issued in IL

Legal business name

BASUDEB SAHA MD SC

Practice address

4318 W Crystal Lake Rd
Suite L
McHenry, IL 60050-4210

Phone

(815) 344-0620

Fax

(815) 344-0504

NPI assigned

Feb 17, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Basudeb Saha, MD

Title

MD SC

Phone

(815) 344-0620

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1851613947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 W CRYSTAL LAKE RD",
            "address_2": "SUITE L",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504210",
            "telephone_number": "815-344-0620",
            "fax_number": "815-344-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 W CRYSTAL LAKE RD",
            "address_2": "SUITE L",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504210",
            "telephone_number": "815-344-0620",
            "fax_number": "815-344-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASUDEB SAHA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "SAHA",
        "authorized_official_first_name": "BASUDEB",
        "authorized_official_title_or_position": "MD  SC",
        "authorized_official_telephone_number": "815-344-0620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036052882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036052882",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd Bartter
• Alex Bartusch
• Oishi Barua, MD, MBBS
• Harpreet S Basran, M.D.
• Jennifer Bastian
• Andria Bates
• Maegan Bauer, PTA
• Anthony Bautista
• Stephanie Beake
• Janta Danielle Beamon

• Surgery Physician in McHenry, IL
• Providers in McHenry, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.