Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 200301204 | NC |
Y | 208600000X | Surgeon | 200301204 | NC |
N | 2086S0102X | Surgical Critical Care | 200301204 | NC |
NPI | 1356350490 |
---|---|
Provider Name | Dr. Sukanto Biswas |
First Address | Raleigh, NC 27604-0010 |
Second Address | Raleigh, NC 27610-1247 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2006 |
Last Update Date | 16/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
89135EC | (05) | NC |
G66819 | (02) |