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

Prabhat Kumar Basu, MD

Individual provider Family Medicine Physician · NPI 1881325538

Prabhat Kumar Basu, MD is a Family Practice in Roseville, California. Qualified in 2016, 10 years ago. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2022
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

1011 Riverside Ave
Roseville, CA 95678-5134
Phone: (916) 746-3590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A200606 (CA)

Record details

NPI number1881325538
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2022
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025
Mailing address1011 Riverside Ave, Roseville, CA 95678-5134

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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