Healthcare Provider Details

I. General information

NPI: 1396938478
Provider Name (Legal Business Name): RADHA S BISWAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2007
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 CONNECTICUT AVE
NORWALK CT
06854-1525
US

IV. Provider business mailing address

375 HOOKER AVENUE POUGHKEEPSIE PEDIATRICS, P.C.
POUGHKEEPSIE NY
12603-3627
US

V. Phone/Fax

Practice location:
  • Phone: 203-899-1770
  • Fax:
Mailing address:
  • Phone: 845-454-5005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number248149
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number45605
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: