Indhira Bisono MD

NPI 1003162546 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1003162546
Gender Female
Enumeration Date 08/02/2012
Last Updated 06/18/2015
Entity Type Individual
Active Over 4 years ago
Practice Location
4030 TATES CREEK RD
APT 1004
LEXINGTON KY, 40517-3073, US
Phone (443) 799-6999
Fax
Business Location
4030 TATES CREEK RD
APT 1004
LEXINGTON KY, 40517-3073, US
Phone (443) 799-6999
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Indhira Bisono MD NPI is 1003162546, taxonomy code is 390200000X Indhira Bisono MD physically located at 4030 Tates Creek Rd, Lexington KY, 40517-3073. NPI Number Indhira Bisono MD has the Individual type.

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1003162546 NPI number is provided on an as is basis without warranty of any kind. 1003162546 is maintained by the National Plan & Provider Enumeration System. The contents of Indhira Bisono MD are for informational purposes only.