MEDICARE: ANIRUDHA DASGUPTA MD

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
1	207RH0003X	Hematology & Oncology Physician	M9245	TX
2	207RH0003X	Hematology & Oncology Physician	MD.11861R	LA
3	207RX0202X	Medical Oncology Physician	11861R	LA

Other Identifiers

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

General Provider Information

NPI Number	:	1841298387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANIRUDHA DASGUPTA MD

Provider Business Mailing Address
First Line	:	22710 PROFESSIONAL DR
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-6008
Country	:	US
Telephone Number	:	281-298-8444
Fax Number	:

Provider Business Practice Location Address
First Line	:	22710 PROFESSIONAL DR
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-6008
Country	:	US
Telephone Number	:	281-298-8444
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	11/25/2014

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Directions to “ ANIRUDHA DASGUPTA MD” Practice Location

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