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1831144039 NPI number — DEBASHIS BISWAS M.D.

NPI Number: 1831144039
Health Care Provider/Practitioner: DEBASHIS BISWAS M.D.

Information about “1831144039” NPI (DEBASHIS BISWAS M.D.) exists in 1831144039 in HTML format HTML  |  1831144039 in plain Text format TXT  |  1831144039 in PDF (Portable Document Format) PDF  |  1831144039 in an XML format XML  formats.

NPI Number : 1831144039 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831144039",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BISWAS",
    "FirstName": "DEBASHIS",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6325 HUMPHREYS BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MEMPHIS",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "38120-2300",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "901-522-7700",
    "MailingAddressFaxNumber": "662-536-0566",
    "FirstLinePracticeLocationAddress": "97 STATELINE RD E",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOUTHAVEN",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "38671-1724",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "662-536-0577",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/24/2006",
    "LastUpdateDate": "04/22/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2084N0400X",
          "TaxonomyName": "Neurology Physician",
          "LicenseNumber": "37773",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084N0400X",
          "TaxonomyName": "Neurology Physician",
          "LicenseNumber": "M18215",
          "LicenseNumberStateCode": "MS",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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