8001 ROOSEVELT BLVD SUITE 403
PHILADELPHIA, PA 19152-3038 US PECOS Enrolled
Overview
Indranil Dasgupta is a Cardiologist in the PHILADELPHIA area and has over 30 years of experience. Indranil Dasgupta primary office location is at 8001 ROOSEVELT BLVD and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1994
Indranil Dasgupta is affiliated with two hospitals in the PHILADELPHIA area, including JEFFERSON HEALTH- NORTHEAST. The NPI number is 1205856143 and the information was updated approximately 7 years ago.
Indranil Dasgupta is part of three medical groups, including METHODIST ASSOCIATES IN HEALTHCARE, INC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 25MA07005600 | NJ |
| MD067078L | PA |
| Board Certifications |
|---|
| Cardiovascular Disease |
| Internal Medicine |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 001892520 | PA |
| MEDICAID | 8805806 | NJ |
| Taxonomy | State | Primary? |
|---|---|---|
| Cardiologist - Taxonomy Code 207RC0000X | PA | Y |
| Internal Medicine Physician - Taxonomy Code 207R00000X | PA | N |
| Cardiologist - Taxonomy Code 207RC0000X | NJ | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20050201000446 |
| PECOS Individual PAC ID: | 0547211153 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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