Biswas, Mahua

Biswas, Mahua is an individual health care provider with primary practice located at 4640 Admiralty Way Suite 102, Marina Del Rey CA 90292-6629. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as her primary health care specialty. Biswas, Mahua can be contacted via phone (310) 836-1574.

Contact Information

Primary practice address
4640 Admiralty Way Suite 102 Marina Del Rey CA 90292-6629
Phone: (310) 836-1574
Fax: (310) 836-6925
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X A48575 California

Profile Details

NPI number 1932153731
LBN Legal business name Biswas, Mahua
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jun 14th, 2012 - about 12 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 1932153731 NPPES
California MEDICAID 00A485750

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