Individual
DR. RUDRANATH TALUKDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 HILLCREST MEDICAL BLVD, WACO, TX 76712-8897
(254) 202-4000
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
MD062334L
PA
207RX0202X
Medical Oncology Physician
Primary
L7896
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163612802
—
TX
01
—
5388644
AETNA
TX
01
—
8W0432
BCBSTX
TX
Enumeration date
07/25/2006
Last updated
11/06/2024
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