Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 0101059215 | VA |
N | 2080P0203X | Pediatric Critical Care Doctor | 358 | NC |
NPI | 1023019056 |
---|---|
Provider Name | Dr. Abhik Kumar Biswas |
First Address | Chesapeake, VA 23320-9440 |
Second Address | Portsmouth, VA 23708 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2005 |
Last Update Date | 08/07/2007 |