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Individual

BISWARAJ THARU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MBBS

Contact information

Practice address
3838 12TH AVE N, FARGO, ND 58102-2931
(701) 234-4700
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200073
ND
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
35.140521
OH
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
69407
MN
2083X0100X
Occupational Medicine Physician
20073
ND
390200000X
Student in an Organized Health Care Education/Training Program
57.246410
OH

Other

Enumeration date
04/20/2018
Last updated
12/16/2025
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