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NPI Code Detail

MEDICARE: PURBA BISWAS MD

MEDICARE:   PURBA  BISWAS  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
1207RN0300XNephrology Physician34448AZ

General Provider Information

NPI Number : 1740274190
Entity Type Code : Individual
Provider Name (Legal Business Name) : PURBA BISWAS MD
Provider Business Mailing Address
First Line : 1840 PASEO SAN LUIS
Second Line :
City : SIERRA VISTA
State : AZ
Zip : 85635-4612
Country : US
Telephone Number : 520-459-5959
Fax Number : 520-459-0021
Provider Business Practice Location Address
First Line : 1840 PASEO SAN LUIS
Second Line :
City : SIERRA VISTA
State : AZ
Zip : 85635-4612
Country : US
Telephone Number : 520-459-5959
Fax Number : 520-459-0021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 11/05/2023

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Directions to “ PURBA BISWAS MD” Practice Location

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