Individual
DR. JAY DEEP SENGUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E 28TH ST STE H2100, MINNEAPOLIS, MN 55407-3723
(612) 863-3900
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55456
MN
207RC0000X
Cardiovascular Disease Physician
55456
MN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
55456
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55456
MN LICENSE
MN
Enumeration date
04/16/2007
Last updated
03/11/2021
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