Dr. Amitava Michael Dasgupta
Family Doctor - Geriatric Medicine
551 E Southampton Dr
Columbia
, Missouri 65201-4236
Dr. Amitava Michael Dasgupta
Family Doctor - Geriatric Medicine
551 E Southampton Dr
Columbia
, Missouri 65201-4236
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Amitava Michael Dasgupta
- 551 East Southampton Drive
- Columbia, MO
- Zip : 65201
- Phone :
Second Address
- Dr. Amitava Michael Dasgupta
- 551 E Southampton Dr
- Columbia, MO
- Zip : 65201-4236
- Fax : (573) 882-6228
- Phone : (573) 884-7733
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 201636529 | MO |
National Provider Identifier
| NPI | 1144586983 |
|---|---|
| Provider Name | Dr. Amitava Michael Dasgupta |
| First Address | Columbia, MO 65201 |
| Second Address | Columbia, MO 65201-4236 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/04/2012 |
| Last Update Date | 28/12/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.