Provider Demographics
NPI:1588358998
Name:BASKOTA, SAMIKCHYA (MD)
Entity type:Individual
Prefix:MRS
First Name:SAMIKCHYA
Middle Name:
Last Name:BASKOTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 BROADWAY
Mailing Address - Street 2:PEDIATRIC RESIDENCY CO-ORDINATOR OFFICE
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11206
Mailing Address - Country:US
Mailing Address - Phone:718-963-8779
Mailing Address - Fax:718-963-7957
Practice Address - Street 1:760 BROADWAY
Practice Address - Street 2:PEDIATRIC RESIDENCY CO-ORDINATOR OFFICE
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:11206
Practice Address - Country:US
Practice Address - Phone:718-963-8779
Practice Address - Fax:718-963-7957
Is Sole Proprietor?:No
Enumeration Date:2023-06-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program