Whalio Doctors

NPI 1003235417

Reneeta Basu, DO

Practitioner Family Medicine Physician Lilburn, GA

Practice location

Address
615 Beaver Ruin Rd NW, Lilburn, GA 30047-3401
Phone
(770) 935-8616
Mailing address
1365 Clifton Rd NE, Atlanta, GA 30322-1013

Registered specialties (3)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 85232 (GA)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X Licence OT015694 (PA)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence OS16141 (FL)

Registry record

NPI
1003235417
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 Apr 2014
Record last updated
3 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.