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1588629323

NPI Code Detail

MEDICARE: TAPAN KUMAR NATH MD

MEDICARE: TAPAN KUMAR NATH 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	207R00000X	Internal Medicine Physician	20020233	NM
2	207R00000X	Internal Medicine Physician	L7497	TX

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

General Provider Information

NPI Number	:	1588629323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAPAN KUMAR NATH MD

Provider Business Mailing Address
First Line	:	2215 NASHVILLE AVE
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79410-1105
Country	:	US
Telephone Number	:	806-725-5228
Fax Number	:	806-723-6532

Provider Business Practice Location Address
First Line	:	9812 SLIDE RD
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79424-5781
Country	:	US
Telephone Number	:	806-725-1000
Fax Number	:	806-723-8491

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

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	03/09/2026

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Directions to “ TAPAN KUMAR NATH MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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