Bose, Sudeshna C

Bose, Sudeshna C is an individual health care provider with primary practice located at 3838 N Campbell Ave, Bldg 2 , Tucson AZ 85719. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Bose, Sudeshna C can be contacted via phone (520) 694-8888.

Contact Information

Primary practice address
3838 N Campbell Ave, Bldg 2 Tucson AZ 85719
Fax: (520) 694-0235
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 30433 Arizona

Profile Details

NPI number 1962414839
LBN Legal business name Bose, Sudeshna C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Dec 12th, 2018 - about 6 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 1962414839 NPPES
Arizona MEDICAID 704587
Arizona Other ZWCGCR

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