DR. SUDIP K BOSE (NPI# 1679537260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679537260 |
| Entity Type | Individual |
| Full Name | DR. SUDIP K BOSE |
| Practice Address |
9229 Lbj Fwy Dallas TX 75243-3405 |
| Practice Telephone | 9727393710 |
| Mailing Telephone | 9727393710 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2009-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
L5682 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
9229 LBJ FWY |
| City | DALLAS |
| State | TX |
| Zip Code | 75243-3405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437154994 | John R Rowland | Pathology | 9229 Lbj Fwy, Dallas, TX 75243-3405 | 2005-06-20 |
| 1750741963 | Pavneet K Grewal | Nurse Practitioner | 9229 Lbj Fwy, Attn: Post Acute, Dallas, TX 75243-3405 | 2016-03-01 |
| 1528306594 | Tammy Gayle Lipke | Nurse Practitioner | 9229 Lbj Fwy, Attn: Post Acute, Dallas, TX 75243-3405 | 2013-01-24 |
| 1699061945 | Margarita Angela Rice | Nurse Practitioner | 9229 Lbj Fwy, Attn: Post Acute, Dallas, TX 75243-3405 | 2011-06-24 |
| 1578883583 | Katherine S Kenebrew | Internal Medicine | 9229 Lbj Fwy, Attn: Post Acute, Dallas, TX 75243-3405 | 2010-06-02 |
| 1386973782 | Batool Imtiaz | Family Medicine | 9229 Lbj Fwy, Attn: Post Acute, Dallas, TX 75243-3405 | 2009-12-14 |
| 1922253996 | Danita Joyce Loftis | Physician Assistant | 9229 Lbj Fwy, Dallas, TX 75243-3405 | 2008-11-18 |
| 1689835589 | Douglas J Kim | Pathology | 9229 Lbj Fwy, Dallas, TX 75243-3405 | 2008-06-23 |
| 1811170913 | Isaac Joon Choi | Emergency Medicine | 9229 Lbj Fwy, Dallas, TX 75243-3405 | 2007-12-11 |
| 1447387972 | Mohamad S Zibari | Physician Assistant | 9229 Lbj Fwy, Attn: Post Acute, Dallas, TX 75243-3405 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970830 | Nnamdi Okorie | Licensed Vocational Nurse | [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 | 2020-07-23 |
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1033609292 | Mother Earth Healthcare Services Inc | Home Health | 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 | 2018-05-14 |
| 1346742822 | Chioma Ifeji | Licensed Vocational Nurse | 13317 Daystrom Court, Dallas, TX 75243 | 2018-03-01 |
| 1598282865 | Kimberly Ann Whitney | Social Worker | 11520 N Central Expy Ste 254, Dallas, TX 75243 | 2017-08-27 |
| 1962934083 | Dignity Private Care, LLC | In Home Supportive Care | 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 | 2017-03-29 |
| 1699214569 | Vitalis Home Health LLC | Home Health | 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 | 2017-02-13 |
| 1881130946 | Proniles | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Dr, Dallas, TX 75243 | 2017-01-13 |
| 1194273664 | Osman W Awdallah | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Drive, Dallas, TX 75243 | 2016-09-14 |
| Find all providers in zip 75243 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776208 | Atj Community Services | Emergency Medicine | 3636 Creek View Cir, Dallas, TX 75233-1704 | 2020-09-28 |
| 1578968962 | Rick D Lamb | Emergency Medicine | 3824 Cedar Springs Rd # 801-3443, Dallas, TX 75219-4136 | 2014-10-27 |
| 1558689315 | Jakub Furmaga | Emergency Medicine | 5323 Harry Hines Blvd # Mc8579, Dallas, TX 75390-8579 | 2010-05-04 |
| 1881845485 | Johnny Negusse | Emergency Medicine | 2500 N Houston St, Apt 2806, Dallas, TX 75219-7655 | 2008-10-02 |
| 1215138656 | Oscar J. Martinez | Emergency Medicine | 4229 Cole Ave Apt 114, Dallas, TX 75205-4899 | 2007-05-31 |
| 1710188271 | Laura A. Craigmiles | Emergency Medicine | 8189 Walnut Hill Lane, Suite 007, Dallas, TX 75231 | 2007-05-30 |
| 1578164836 | Sarah Anderson | Emergency Medicine | 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 | 2020-11-03 |
| 1073082012 | Medical Global Solutions | Emergency Medicine | 16324 Lauder Ln, Dallas, TX 75248-2349 | 2018-11-20 |
| 1538459896 | Mandy M Pascual | Emergency Medicine | 5201 Harry Hines Blvd, Graduate Medical Education, Dallas, TX 75235-7708 | 2011-04-07 |
| 1861715591 | David Paul Lehrfeld | Emergency Medicine | 5323 Harry Hines Blvd., Dallas, TX 75390-7208 | 2010-03-09 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.