1619953932 NPI number — DR. RANJAN KUMAR DASGUPTA MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619953932 NPI number — DR. RANJAN KUMAR DASGUPTA MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

DASGUPTA

Provider First Name:

RANJAN

Provider Middle Name:

KUMAR

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1619953932

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

10/16/2013

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

210 WESTCHESTER AVE

Provider Second Line Business Mailing Address:

3RD FLOOR

Provider Business Mailing Address City Name:

WHITE PLAINS

Provider Business Mailing Address State Name:

NY

Provider Business Mailing Address Postal Code:

10604-2901

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

914-681-3146

Provider Business Mailing Address Fax Number:

914-682-6403

Provider First Line Business Practice Location Address:

1 THEALL RD

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

RYE

Provider Business Practice Location Address State Name:

NY

Provider Business Practice Location Address Postal Code:

10580-1404

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

914-848-8800

Provider Business Practice Location Address Fax Number:

914-682-6403

Provider Enumeration Date:

12/19/2005

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207V00000X , with the licence number:  205606-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
• Taxonomy code: 207V00000X , with the licence number: 038671 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

• Identifier: 133884168 . This is a "BEECH STREET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 133884168 . This is a "EMPIRE STATE PLAN (NYS)" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 133884168 . This is a "POMCO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 038671 . This is a "CONNECTICARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 1543298 . This is a "CIGNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 0296881 . This is a "GHI PPO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 133884168 . This is a "HORIZON HEALTHCARE OF NY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 133884168 . This is a "PHCS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 3745950 . This is a "AETNA HMO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 5389630 . This is a "AETNA NON HMO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 751E71/751E51 . This is a "BLUE CROSS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: P1061522 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 3C7513 . This is a "HEALTH NET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 133884168 . This is a "MULTIPLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 1980249 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".