1093321903 NPI number — SUMAN BISWAS MD MBBS

Table of content: SUMAN BISWAS MD MBBS (NPI 1093321903)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093321903 NPI number — SUMAN BISWAS MD MBBS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BISWAS
Provider First Name:
SUMAN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD MBBS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1093321903
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/12/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
INTERNAL MEDICINE RESIDENCY PROGRAM
Provider Second Line Business Mailing Address:
DESERT VALLEY HOSPITAL, 16850 BEAR VALLEY ROAD
Provider Business Mailing Address City Name:
VICTORVILLE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92395
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
760-241-8000
Provider Business Mailing Address Fax Number:
760-241-8000

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16850 BEAR VALLEY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VICTORVILLE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92395-5794
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-241-8000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/17/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com