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Individual

DR. ABHISHEK BISWAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
11104 PARKVIEW CIRCLE DR STE 410, FORT WAYNE, IN 46845-0025
(602) 665-2602
(260) 266-5279
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME131165
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME131165
FL
207RP1001X
Pulmonary Disease Physician
Primary
01079941A
IN
207RP1001X
Pulmonary Disease Physician
ME131165
FL
390200000X
Student in an Organized Health Care Education/Training Program
MT197922
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020123400
FL
01
IY897Z
MEDICARE
FL
Enumeration date
06/30/2010
Last updated
03/02/2021
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