Healthcare Provider Details

I. General information

NPI: 1396855359
Provider Name (Legal Business Name): ASOK DASGUPTA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 10/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2760 AIRPORT DR. SUITE 120
COLUMBUS OH
43219
US

IV. Provider business mailing address

2760 AIRPORT DR. SUITE 120
COLUMBUS OH
43219
US

V. Phone/Fax

Practice location:
  • Phone: 614-586-0668
  • Fax: 614-586-0669
Mailing address:
  • Phone: 614-586-0668
  • Fax: 614-586-0669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number35071843
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number35071843
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number35-07-1843
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: