BHASKAR DAVID S BOSE

INDIANAPOLIS, IN
NPI1265411060
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QH0002X Family Medicine, Hospice and Palliative Medicine
(Licence: IN  01058365A)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IN  01058365A)
Enumeration Date2006-01-11
Last Update Date2014-05-27
Business Address
-- BHASKAR DAVID S BOSE MD
1633 N CAPITOL AVE STE 322
INDIANAPOLIS, IN 46202-1476
Phone number: 317-962-2929
Mailing Address
-- BHASKAR DAVID S BOSE MD
250 N SHADELAND AVE SUITE 130 - PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number: