Mukherjee, Dipankar

Mukherjee, Dipankar is an individual health care provider with primary practice located at 2921 Telestar Ct , Falls Church VA 22042-1205. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Mukherjee, Dipankar can be contacted via phone (703) 280-5858.

Contact Information

Primary practice address
2921 Telestar Ct Falls Church VA 22042-1205
Fax: (703) 849-0874
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101044778 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101044778 Virginia
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 0101044778 Virginia

Profile Details

NPI number 1629047584
LBN Legal business name Mukherjee, Dipankar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Aug 23rd, 2021 - about 3 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 1629047584 NPPES
Virginia MEDICAID 010253144
Virginia MEDICAID 010036003
Virginia Other VV0738B
Virginia MEDICAID 010252466

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