Subhasish Bose, MD
Internal Medicine, Nephrology in Lynchburg, VA. Individual provider (NPI-1).
NPI number1770816118
StatusActive
Last updated in NPPESSep 20, 2024
Details
- NPI
- 1770816118
- Entity type
- Individual (NPI-1)
- Name
- Subhasish Bose
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2009
- Certification date
- Sep 20, 2024
- Last updated
- Sep 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | 0101253245 | VA | Yes |
| 207R00000X | Internal Medicine | MD448349 | PA |
Practice location
2091 Langhorne RdLynchburg, VA 24501-1428
Phone 434-947-3954 · Fax 877-583-4046
Mailing address
2450 W Hunting Park Ave3rd Floor
Philadelphia, PA 19129-1302
Phone 215-707-2433 · Fax 215-707-3677
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