Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | A47740 | CA |
NPI | 1043316656 |
---|---|
Provider Name | Dr. Nanda Biswas |
First Address | Victorville, CA 92395-7735 |
Second Address | Victorville, CA 92395-7735 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 25/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A477400 | (05) | CA |
A62087 | (02) | CA |