NISHA A. BASU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156327

License Status

ACTIVE

Business

Title

First Name

NISHA

Middle

Last Name

BASU

Business Name

NISHA A. BASU MD

Original Issue Date

03/30/2021

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

WATERTOWN

State

Zip

02472

Ever Disciplined

LastModifiedDate

06/22/2023