Individual
BHASKAR DAVID S BOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1633 N CAPITOL AVE, STE 322, INDIANAPOLIS, IN 46202-1476
(317) 962-2929
(317) 962-2070
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01058365A
IN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
01058365A
IN
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
01058365A
IN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
01058365A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200861410
—
IN
01
—
P00393193
RR MEDICARE
IN
01
—
P01271428
RAILROAD MEDICARE
IN
Enumeration date
01/11/2006
Last updated
05/16/2025
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