MEDICARE: DR. BENJAMIN J DRAPKIN MD, PHD

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	207R00000X	Internal Medicine Physician	L-244245	MA
2	207R00000X	Internal Medicine Physician	276169	MA
3	207RH0003X	Hematology & Oncology Physician	276169	MA
4	207RX0202X	Medical Oncology Physician	S6605	TX

General Provider Information

NPI Number	:	1326368895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN J DRAPKIN MD, PHD

Provider Business Mailing Address
First Line	:	PO BOX 845347
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-7208
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2201 INWOOD RD # NC3.500
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-7320
Country	:	US
Telephone Number	:	214-645-4673
Fax Number	:

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

Provider Enumeration Date	:	06/08/2010
Last Update Date	:	05/28/2020

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