Bistees George, MD
Student in an Organized Health Care Education/Training Program in Indianapolis, IN. Individual provider (NPI-1).
NPI number1275112583
StatusActive
Last updated in NPPESApr 5, 2021
Details
- NPI
- 1275112583
- Entity type
- Individual (NPI-1)
- Name
- Bistees George
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2021
- Certification date
- Apr 5, 2021
- Last updated
- Apr 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Other names
- Bistees Abdelmalak (Former Name)
Practice location
1120 W Michigan St # Cl642Indianapolis, IN 46202-5209
Phone 317-278-2686 · Fax 317-278-2650
Mailing address
1120 W Michigan St # Cl642Indianapolis, IN 46202-5209
Phone 469-450-4169
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