MEDICARE: BISHESTA KARANJIT

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
1	235Z00000X	Speech-Language Pathologist		MN

General Provider Information

NPI Number	:	1972261915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BISHESTA KARANJIT

Provider Business Mailing Address
First Line	:	2904 ROOSEVELT RD STE 1
Second Line	:
City	:	SAINT CLOUD
State	:	MN
Zip	:	56301-9109
Country	:	US
Telephone Number	:	320-558-8315
Fax Number	:

Provider Business Practice Location Address
First Line	:	2904 ROOSEVELT RD STE 1
Second Line	:
City	:	SAINT CLOUD
State	:	MN
Zip	:	56301-9109
Country	:	US
Telephone Number	:	320-558-8315
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2021
Last Update Date	:	04/15/2026

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Directions to “ BISHESTA KARANJIT ” Practice Location

Language	Start Address	Practice Location

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