Devabrata Ganguly Md Pa | |
3144 Clarksville St Paris TX 75460-8002 | |
(903) 784-8700 | |
(903) 427-0503 |
Full Name | Devabrata Ganguly Md Pa |
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Speciality | Internal Medicine |
Location | 3144 Clarksville St, Paris, Texas |
Authorized Official Name and Position | Devabrata Ganguly (OWNER) |
Authorized Official Contact | 9034270500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Devabrata Ganguly Md Pa 3144 Clarksville St Paris TX 75460-8002 Ph: (903) 784-8700 | Devabrata Ganguly Md Pa 3144 Clarksville St Paris TX 75460-8002 Ph: (903) 784-8700 |
NPI Number | 1891049342 |
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Provider Enumeration Date | 11/06/2012 |
Last Update Date | 06/29/2016 |
Medicare PECOS PAC ID | 9537480561 |
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Medicare Enrollment ID | O20150603000630 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891049342 | NPI | - | NPPES |
412743 | Other | TX | MEDICARE PTAN |
044968802 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | K7287 (Texas) | Secondary |
207RG0300X | Internal Medicine - Geriatric Medicine | K7287 (Texas) | Primary |
Provider Name | Devabrata Ganguly |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225077274 PECOS PAC ID: 1254339690 Enrollment ID: I20061120000389 |
Texas & Oklahoma Occupational Medicine Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3154 Clarksville St, Paris, TX 75460 Phone: 903-785-4600 Fax: 903-782-9150 | |
Paragon Primary Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2895 Lewis Ln, Paris, TX 75460 Phone: 972-203-3600 | |
Healthcare Express Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5220 Se Loop 286, Paris, TX 75460 Phone: 903-791-9355 | |
Md Consultative Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3310 Lamar Avenue, Suite A, Paris, TX 75460 Phone: 039-054-8109 | |
Northeast Texas Primary Care, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 635 Stone Ave, Paris, TX 75460 Phone: 903-785-9900 Fax: 903-785-9917 | |
Vitalcare Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 707 Lamar Ave Ste D, Paris, TX 75460 Phone: 430-900-1923 Fax: 430-900-1924 | |
Paris Lakes Health Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2675 41st St Se Ste 102, Paris, TX 75462 Phone: 903-739-7700 Fax: 903-739-7398 |