Provider Demographics
NPI:1568235182
Name:TIMSINA, BISHNU L
Entity Type:Individual
Prefix:
First Name:BISHNU
Middle Name:L
Last Name:TIMSINA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 BRANDY MILL DR
Mailing Address - Street 2:
Mailing Address - City:ETNA
Mailing Address - State:OH
Mailing Address - Zip Code:43062-8046
Mailing Address - Country:US
Mailing Address - Phone:678-768-9487
Mailing Address - Fax:
Practice Address - Street 1:120 BRANDY MILL DR
Practice Address - Street 2:
Practice Address - City:ETNA
Practice Address - State:OH
Practice Address - Zip Code:43062-8046
Practice Address - Country:US
Practice Address - Phone:678-768-9487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker