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

Neil Anjan Basumallik, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1922636588

Neil Anjan Basumallik, MD is an Internal Medicine in Salisbury, Maryland. Graduated from State University of New York at Buffalo School of Medicine in 2020, 6 years ago. Practices with Tidalhealth Primary Care LLC, a 63-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
6
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
MD
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1639 Woodbrooke Dr
Salisbury, MD 21804-8502
Phone: (410) 543-7475
Show map & directions

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

Additional practice locations (1)

  • Rutgers Rwjms, Department Of Medicine, New Brunswick, NJ 08901 — (732) 235-8887

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence D0097335 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1922636588
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2020
Last updated in NPPESOctober 19, 2023
Certification dateOctober 19, 2023

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Tidalhealth Primary Care Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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