Provider Demographics
NPI:1295409233
Name:BASNYAT, PARMARTHA (MD)
Entity Type:Individual
Prefix:
First Name:PARMARTHA
Middle Name:
Last Name:BASNYAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:PARMARTHA
Other - Middle Name:
Other - Last Name:BASNYAT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:900 S CATON AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-5201
Mailing Address - Country:US
Mailing Address - Phone:667-234-3130
Mailing Address - Fax:667-234-2535
Practice Address - Street 1:900 S CATON AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-5201
Practice Address - Country:US
Practice Address - Phone:667-234-3130
Practice Address - Fax:667-234-2535
Is Sole Proprietor?:No
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program