Provider Demographics
NPI:1548749237
Name:CAN, BASAK (MD)
Entity type:Individual
Prefix:
First Name:BASAK
Middle Name:
Last Name:CAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2401 GILLHAM RD
Mailing Address - Street 2:PROVIDER ENROLLMENT DEPT
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-4619
Mailing Address - Country:US
Mailing Address - Phone:816-701-5200
Mailing Address - Fax:816-302-9939
Practice Address - Street 1:2401 GILLHAM RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-4619
Practice Address - Country:US
Practice Address - Phone:816-234-3000
Practice Address - Fax:816-302-9939
Is Sole Proprietor?:No
Enumeration Date:2018-08-13
Last Update Date:2025-02-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35.140559207W00000X
MO2018017651207WX0110X
KS04-50455207WX0110X
MO2023019937207WX0110X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology