Individual
DR. DEBASISH TRIPATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
A 46248
CA
207RX0202X
Medical Oncology Physician
A46248
CA
207RX0202X
Medical Oncology Physician
Primary
L5591
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154932101
—
TX
05
—
154932104
—
TX
01
—
1902846306
GROUP NPI
CA
01
—
GR0100430
GROUP MEDICAL
CA
01
—
W18762
GROUP MEDICARE
CA
Enumeration date
03/16/2006
Last updated
05/06/2016
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