Provider Demographics
NPI:1922115682
Name:BISWAS, TITHI (MD)
Entity type:Individual
Prefix:DR
First Name:TITHI
Middle Name:
Last Name:BISWAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 100385
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0385
Mailing Address - Country:US
Mailing Address - Phone:352-265-0287
Mailing Address - Fax:352-265-0546
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-1900
Practice Address - Country:US
Practice Address - Phone:352-265-0287
Practice Address - Fax:352-265-0546
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2010-011632085R0001X
OH35.0996322085R0001X
FLME1687042085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0071141Medicaid
NC5915668Medicaid
NC159WFOtherBCBSNC
OH0071141Medicaid
NJ0184934Medicaid
OH0071141Medicaid
OHH129102Medicare PIN
PA142093PAGMedicare PIN
PA1022524670001Medicaid