Individual
DEBASHIS BISWAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
97 STATELINE RD E, SOUTHAVEN, MS 38671-1724
(662) 536-0577
Mailing address
6325 HUMPHREYS BLVD, MEMPHIS, TN 38120-2300
(901) 522-7700
(662) 536-0566
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
37773
TN
2084N0400X
Neurology Physician
Primary
M18215
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019896
CIGNA
—
05
—
08601532
—
MS
01
—
29610
TLC
—
05
—
388061
—
TN
01
—
4076438
BCBS OF TENNESSEE
TN
01
—
470882104
UNITED HEALTHCARE
—
01
—
7486187
AETNA
—
01
—
H19481
HEALTHSPRINGS
—
05
—
Q015836
—
TN
Enumeration date
05/24/2006
Last updated
04/22/2024
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