Individual
DR. ASHVINI VARADHI BISWAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5600
(262) 948-5828
Mailing address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5600
(262) 948-5828
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
65892
WI
208000000X
Pediatrics Physician
125059150
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100062488
—
WI
Enumeration date
06/11/2011
Last updated
11/23/2021
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