Individual
DR. DIPANKAR MUKHERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2921 TELESTAR CT, FALLS CHURCH, VA 22042-1205
(703) 280-5858
(703) 849-0874
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101044778
VA
208600000X
Surgery Physician
0101044778
VA
2086S0129X
Vascular Surgery Physician
Primary
0101044778
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010036003
—
VA
05
—
010252466
—
VA
05
—
010253144
—
VA
01
—
VV0738B
MEDICARE UPIN
VA
Enumeration date
03/14/2006
Last updated
08/23/2021
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