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NPI Code Detail

MEDICARE: KUMAR BAHADUR BISTA MD

MEDICARE: KUMAR BAHADUR BISTA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1205776952
Entity Type Code : Individual
Provider Name (Legal Business Name) : KUMAR BAHADUR BISTA MD
Provider Business Mailing Address
First Line : ST BARNABAS HOSPITAL
Second Line : 4422 THIRD AVENUE, MILLS BUILDING 4TH FLOOR, ROOM 406
City : BRONX
State : NY
Zip : 10457-2594
Country : US
Telephone Number : 718-960-6635
Fax Number : 718-960-9418
Provider Business Practice Location Address
First Line : ST BARNABAS HOSPITAL
Second Line : 4422 THIRD AVENUE, MILLS BUILDING 4TH FLOOR, ROOM 406
City : BRONX
State : NY
Zip : 10457-2594
Country : US
Telephone Number : 718-960-6635
Fax Number : 718-960-9418
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2026
Last Update Date : 03/31/2026

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Directions to “ KUMAR BAHADUR BISTA MD” Practice Location

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