Dasgupta, Amitava Michael

Dasgupta, Amitava Michael is an sole proprietor health care provider with primary practice located at 1401 Madison Ave , Covington KY 41011-3313. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Dasgupta, Amitava Michael can be contacted via phone (859) 655-6100.

Contact Information

Primary practice address
1401 Madison Ave Covington KY 41011-3313
Phone: (859) 655-6100
Fax: (573) 882-6228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 57201 Kentucky
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 201636529 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 57201 Kentucky

Profile Details

NPI number 1144586983
LBN Legal business name Dasgupta, Amitava Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2012
Last updated Jan 9th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144586983 NPPES
Kentucky Other 57201 KY LICENSE

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