Individual
SUDESHNA C BOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3838 N CAMPBELL AVE, BLDG 2, TUCSON, AZ 85719
(520) 694-8888
(520) 694-0235
Mailing address
3838 N CAMPBELL AVE, BLDG 2, TUCSON, AZ 85719
(520) 694-8888
(520) 694-0235
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
30433
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
704587
—
AZ
01
—
ZWCGCR
GROUP MEDICARE NUMBER
AZ
Enumeration date
08/12/2006
Last updated
12/12/2018
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