Individual
DR. SUBRATA KRISHNA TALUKDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12446 WEST AVE STE 200, SAN ANTONIO, TX 78216-2530
(210) 386-5400
(210) 525-1669
Mailing address
4411 MEDICAL DR STE 300, SAN ANTONIO, TX 78229-3824
(210) 614-5400
(210) 614-2413
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L9047
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170128604
—
TX
01
—
8DB260
BCBS OF TX
TX
01
—
P01076448
RAILROAD MEDICARE
TX
01
—
TXB142173
MEDICARE
TX
Enumeration date
10/27/2005
Last updated
05/20/2022
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