Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | A119568 | CA |
NPI | 1396079935 |
---|---|
Provider Name | Biswas Joshi |
First Address | Redlands, CA 92373-7143 |
Second Address | San Bernardino, CA 92408-3747 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2009 |
Last Update Date | 01/09/2016 |