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NPI Code Detail

MEDICARE: JASBIR S BISLA MD

MEDICARE: JASBIR S BISLA 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
12084P0800XPsychiatry Physician25751AZ

General Provider Information

NPI Number : 1528058500
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASBIR S BISLA MD
Provider Business Mailing Address
First Line : 6677 W THUNDERBIRD RD STE I164
Second Line :
City : GLENDALE
State : AZ
Zip : 85306-3762
Country : US
Telephone Number : 238-782-1006
Fax Number : 623-776-9419
Provider Business Practice Location Address
First Line : 6677 W THUNDERBIRD RD STE I164
Second Line :
City : GLENDALE
State : AZ
Zip : 85306-3762
Country : US
Telephone Number : 623-878-2100
Fax Number : 623-776-9419
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2005
Last Update Date : 04/03/2025

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