Basic Information
Provider Information
NPI: 1619953932
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DASGUPTA
FirstName: RANJAN
MiddleName: KUMAR
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 210 WESTCHESTER AVE
Address2: 3RD FLOOR
City: WHITE PLAINS
State: NY
PostalCode: 106042901
CountryCode: US
TelephoneNumber: 9146813146
FaxNumber: 9146826403
Practice Location
Address1: 1 THEALL RD
Address2:  
City: RYE
State: NY
PostalCode: 105801404
CountryCode: US
TelephoneNumber: 9148488800
FaxNumber: 9146826403
Other Information
ProviderEnumerationDate: 12/19/2005
LastUpdateDate: 10/16/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X205606-1NYY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000X038671CTN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

ID Information
IDTypeStateIssuerDescription
13388416801NYBEECH STREETOTHER
13388416801NYEMPIRE STATE PLAN (NYS)OTHER
13388416801NYPOMCOOTHER
03867101NYCONNECTICAREOTHER
154329801NYCIGNAOTHER
029688101NYGHI PPOOTHER
13388416801NYHORIZON HEALTHCARE OF NYOTHER
13388416801NYPHCSOTHER
374595001NYAETNA HMOOTHER
538963001NYAETNA NON HMOOTHER
751E71/751E5101NYBLUE CROSSOTHER
P106152201NYOXFORDOTHER
3C751301NYHEALTH NETOTHER
13388416801NYMULTIPLANOTHER
198024901NYUNITED HEALTH CAREOTHER


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