Individual
DR. DIPAK KUMAR MUKHERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5880 49TH ST N, SUITE 203N, ST PETERSBURG, FL 33709-2150
(727) 527-6464
(727) 526-6296
Mailing address
5880 49TH ST N, SUITE 203N, ST PETERSBURG, FL 33709-2150
(727) 527-6464
(727) 526-6296
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0027748
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058501700
—
FL
01
—
406111598
RAILROAD MEDICARE PIN
—
Enumeration date
06/30/2006
Last updated
04/28/2010
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