Provider Demographics
NPI:1871056390
Name:BISWAS, SAWONA (MS, CGC)
Entity type:Individual
Prefix:
First Name:SAWONA
Middle Name:
Last Name:BISWAS
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:651 N EL CAMINO REAL APT 305
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-3725
Mailing Address - Country:US
Mailing Address - Phone:617-633-7618
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Practice Address - Street 2:1600 DIVISADERO ST
Practice Address - City:SAN FRANSISCO
Practice Address - State:CA
Practice Address - Zip Code:94115
Practice Address - Country:US
Practice Address - Phone:415-567-6600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-11
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGC001104170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS