Provider Demographics
NPI:1902992985
Name:BISWAS, KUNDA SHUVRA (MD)
Entity Type:Individual
Prefix:DR
First Name:KUNDA
Middle Name:SHUVRA
Last Name:BISWAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:10215 FERNWOOD RD
Mailing Address - Street 2:STE 303
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-1106
Mailing Address - Country:US
Mailing Address - Phone:301-270-4844
Mailing Address - Fax:301-270-4484
Practice Address - Street 1:10215 FERNWOOD RD
Practice Address - Street 2:STE 303
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1106
Practice Address - Country:US
Practice Address - Phone:301-270-4844
Practice Address - Fax:301-270-4484
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD428993208600000X
MDD0066793208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDBB9930632OtherDEA
MDBB9930632OtherDEA