IndividualActive
Bishal Bista, PA-C
NPI 1720435746 · Medical Physician Assistant · Liberal, KS
Provider details
- NPI number
- 1720435746
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 1501810 (KS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
315 W 15th St
Liberal, KS 67901-2455
Phone: (620) 629-6477
Fax: (620) 629-6651
Approximate (ZIP-level) locationGet directions
Mailing address
315 W 15th St
Liberal, KS 67901-2455
Additional practice locations (1)
- 1900 Electric RdSalem, VA 24153-7494Phone: (540) 776-4000
Registry dates
- Enumerated
- 2016-05-19
- Last updated
- 2023-05-02
- Certified
- 2023-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.