Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 2019032330 | MO |
NPI | 1053673160 |
---|---|
Provider Name | Biplab Kumar Saha |
First Address | West Plains, MO 65775-1100 |
Second Address | West Plains, MO 65775 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2012 |
Last Update Date | 05/11/2019 |