Individual
DEBABRATA P MUKHERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(915) 215-5200
(915) 215-8640
Mailing address
5130 GATEWAY BLVD E # 51015, EL PASO, TX 79905-1608
(915) 215-4480
(915) 215-5386
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38682
KY
207R00000X
Internal Medicine Physician
N7151
TX
207RC0000X
Cardiovascular Disease Physician
38682
KY
207RC0000X
Cardiovascular Disease Physician
N7151
TX
207RI0011X
Interventional Cardiology Physician
38682
KY
207RI0011X
Interventional Cardiology Physician
Primary
N7151
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64085418
—
KY
Enumeration date
08/08/2006
Last updated
11/09/2023
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