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Individual

DR. GEETA B BISHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2410 N GLENDALE DR STE A, FORT WAYNE, IN 46804-8909
(260) 432-5181
(260) 432-5692
Mailing address
2410 N GLENDALE DR STE A, FORT WAYNE, IN 46804-8909
(260) 432-5181
(260) 432-5692

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01038171A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
01038171A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000087969
ANTHEM BCBS
IN
05
0186200
WA
01
049911P
SIHO
IN
05
0905775
OH
05
100081610A
IN
01
1089
PHP
IN
01
127507000
MAGELLAN
01
47163
CIGNA BEHAVIORAL HEALTH
Enumeration date
05/28/2005
Last updated
03/19/2011
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