Ganguly, Devabrata
Ganguly, Devabrata is an sole proprietor health care provider with primary practice located at 1210 W Main St , Clarksville TX 75426-3523. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ganguly, Devabrata can be contacted via phone (903) 427-0500.Contact Information
Primary practice address
1210 W Main St
Clarksville TX 75426-3523
Phone: (903) 427-0500
Fax: (903) 427-0503
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | K7287 | Texas |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | K7287 | Texas |
Profile Details
| NPI number | 1225077274 |
|---|---|
| LBN Legal business name | Ganguly, Devabrata |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Sep 28th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225077274 | NPPES |
| Texas | Other | 0096JE | BCBS |
| Texas | Other | 110247089 | BCBS |
| Texas | MEDICAID | 044968802 | BCBS |
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