Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Anjan Mandyam Basoor, MD

Individual provider Diagnostic Radiology Physician · NPI 1649512054

Dr. Anjan Mandyam Basoor, MD is a Diagnostic Radiology in Fredericksburg, Virginia. Graduated from State University of New York at Buffalo School of Medicine in 2013, 13 years ago. Practices with Methodist Associates in Healthcare, Inc, a 391-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California, Florida, New York and Virginia.

Years since qualifying
13
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
CA, FL, NY, VA
In the registry since
2013
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone: (407) 415-6105
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1600 Sw Archer Rd, Gainesville, FL 32610-2227 — (352) 265-0291
  • 2040 W Charleston Blvd, Las Vegas, NV 89102-2227 — (702) 671-2341

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 0101287045 (VA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence ME161368 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence A134629 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 319700 (NY)

Record details

NPI number1649512054
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2013
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Methodist Associates In Healthcare, Inc — 391 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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