ANJAN MANDYAM BASOOR

FREDERICKSBURG, VA
NPI1649512054
Former NameANJAN PRABHUSWAMY
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: CA  A134629)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: VA  0101287045)
2085R0202X Radiology, Diagnostic Radiology
(Licence: FL  ME161368)
Enumeration Date2013-03-24
Last Update Date2025-09-24
Business Address
Dr. ANJAN MANDYAM BASOOR MD
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401-4453
Phone number: 407-415-6105
Mailing Address
Dr. ANJAN MANDYAM BASOOR MD
400 W PUEBLO ST
SANTA BARBARA, CA 93105-4353
Phone number: 805-569-7573