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DR. SOLOMON KYAKA BISANGWA MD NPI 1629464961


NPI Information

NPI: 1629464961
Provider Name: DR. SOLOMON KYAKA BISANGWA, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: KENNEDY MEDICAL GROUP PRACTICE, P.C.

PECOS Registration: Yes

Address:
151 FRIES MILL RD STE 102
TURNERSVILLE, NJ
ZIP 08012
Phone: (844) 542-2273
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DR. Solomon Kyaka Bisangwa, MD is a neurology psychiatry neurology in Turnersville, NJ with 9 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Solomon Kyaka Bisangwa, MD NPI is 1629464961. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduation Year:2015

The provider's business location address is:

151 FRIES MILL RD STE 102
TURNERSVILLE, NJ
ZIP 08012-056
Phone: (844) 542-2273

The NPI 1629464961 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/14/2015 and was last updated on 7/12/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineMT208993PENNSYLVANIANo
22084N0400XPsychiatry & NeurologyNeurology25MA10618600NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.