Provider Demographics
NPI:1447149299
Name:BAGCHI, BIDISHA
Entity type:Individual
Prefix:MRS
First Name:BIDISHA
Middle Name:
Last Name:BAGCHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 STOCKBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MI
Mailing Address - Zip Code:49085-8661
Mailing Address - Country:US
Mailing Address - Phone:269-224-7486
Mailing Address - Fax:
Practice Address - Street 1:1717 STOCKBRIDGE DR
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-8661
Practice Address - Country:US
Practice Address - Phone:269-224-7486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-28
Last Update Date:2025-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter