Bista, Amir

Bista, Amir is an sole proprietor health care provider with primary practice located at 2500 E Capitol Dr , Appleton WI 54911-8735. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Bista, Amir can be contacted via phone (920) 364-3600.

Contact Information

Primary practice address
2500 E Capitol Dr Appleton WI 54911-8735
Phone: (920) 364-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MT206839 Pennsylvania
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 67487 Wisconsin

Profile Details

NPI number 1427466655
LBN Legal business name Bista, Amir
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2014
Last updated Dec 28th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427466655 NPPES
Wisconsin MEDICAID 100068956

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