MEDICARE: DR. NILANJANA SEN 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
1	207R00000X	Internal Medicine Physician	L8029	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	:	1598703084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NILANJANA SEN DASGUPTA M.D.

Provider Business Mailing Address
First Line	:	205 E UNIVERSITY AVE STE 200
Second Line	:
City	:	GEORGETOWN
State	:	TX
Zip	:	78626-6821
Country	:	US
Telephone Number	:	877-800-5722
Fax Number	:	512-869-2940

Provider Business Practice Location Address
First Line	:	3950 N A W GRIMES BLVD STE N104
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78665-3540
Country	:	US
Telephone Number	:	877-800-5722
Fax Number	:	512-238-9294

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

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	02/24/2021

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