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NPI Code Detail

MEDICARE: DR. SUTAPA DUBE M.D.

MEDICARE: DR. SUTAPA DUBE 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
1202D00000XIntegrative Medicine Physician52944AZ
22084F0202XForensic Psychiatry Physician52944AZ
32084P0800XPsychiatry Physician52944AZ
42084P0804XChild & Adolescent Psychiatry Physician52944AZ

General Provider Information

NPI Number : 1730495201
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUTAPA DUBE M.D.
Provider Business Mailing Address
First Line : 4729 E SUNRISE DR # 246
Second Line :
City : TUCSON
State : AZ
Zip : 85718-4534
Country : US
Telephone Number : 520-222-7811
Fax Number :
Provider Business Practice Location Address
First Line : 1120 N 5TH AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85705-7408
Country : US
Telephone Number : 520-881-1292
Fax Number : 520-818-1648
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2010
Last Update Date : 03/28/2024

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Directions to “ DR. SUTAPA DUBE M.D.” Practice Location

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