Individual
ANJALI DASGUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
508 MEDICAL CENTER BLVD, CONROE, TX 77304-2808
(936) 523-1701
(936) 523-1706
Mailing address
508 MEDICAL CENTER BLVD, CONROE, TX 77304-2808
(936) 523-1701
(936) 523-1706
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
M9950
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J21A
GROUP MEDICARE NUMBER
TX
01
—
094010801
GROUP MEDICAID NUMBER
TX
Enumeration date
05/07/2007
Last updated
10/13/2011
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