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

Suparna Basu, MD

Individual provider Psychiatry Physician · NPI 1679719777

Suparna Basu, MD is a Psychiatry Physician in Peoria, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2008
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

228 NE Jefferson Ave
Peoria, IL 61603-3802
Phone: (309) 671-8005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 303 Bryant St, Mountain View, CA 94041-1552 — (888) 995-2230

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 036.147481 (IL)

Record details

NPI number1679719777
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 21, 2008
Last updated in NPPESDecember 23, 2020
Certification dateDecember 23, 2020
Mailing address150 Saxon Woods Rd, Scarsdale, NY 10583-7804

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