Individual
DR. INDRANIL DASGUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8001 ROOSEVELT BLVD, SUITE 403, PHILADELPHIA, PA 19152-3038
(215) 676-8300
(215) 698-7707
Mailing address
8001 ROOSEVELT BLVD, SUITE 403, PHILADELPHIA, PA 19152-3038
(215) 676-8300
(215) 698-7707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD067078L
PA
207RC0000X
Cardiovascular Disease Physician
25MA07005600
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
MD067078L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001892520
—
PA
05
—
8805806
—
NJ
Enumeration date
07/21/2006
Last updated
05/31/2017
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