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NPI Code Detail

MEDICARE: INDIRA DASGUPTA M.D.

MEDICARE: INDIRA DASGUPTA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0207XPediatric Hematology & Oncology Physician132189NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063412872
Entity Type Code : Individual
Provider Name (Legal Business Name) : INDIRA DASGUPTA M.D.
Provider Business Mailing Address
First Line : 600 E 233RD ST
Second Line : DEPT. OF PEDIATRICS
City : BRONX
State : NY
Zip : 10466-2604
Country : US
Telephone Number : 914-493-7997
Fax Number : 914-594-4022
Provider Business Practice Location Address
First Line : 600 E 233RD ST
Second Line :
City : BRONX
State : NY
Zip : 10466-2604
Country : US
Telephone Number : 914-493-7997
Fax Number : 914-594-4022
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 09/26/2008

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Directions to “ INDIRA DASGUPTA M.D.” Practice Location

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