Provider Demographics
NPI:1386604718
Name:BASKAR, GANAPATHI (MD)
Entity type:Individual
Prefix:DR
First Name:GANAPATHI
Middle Name:
Last Name:BASKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8128 268TH ST
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11004-1546
Mailing Address - Country:US
Mailing Address - Phone:646-643-0816
Mailing Address - Fax:646-643-0816
Practice Address - Street 1:8128 268TH ST
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11004-1546
Practice Address - Country:US
Practice Address - Phone:646-643-0816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY218878207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02083645Medicaid
NYG75375Medicare UPIN
NY41C591Medicare ID - Type Unspecified