Individual
BISHNU SUBEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 ST PAUL DR STE 201, CHAMBERSBURG, PA 17201-1036
(717) 217-6944
(717) 217-6955
Mailing address
785 5TH AVE STE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 709-6529
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD461147
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD461147
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103305841
—
PA
01
—
13992561
CAQH
PA
Enumeration date
05/20/2011
Last updated
09/20/2024
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