Provider Demographics
NPI:1720276132
Name:ARINDAM BANDYOPADHYAY MD PA
Entity type:Organization
Organization Name:ARINDAM BANDYOPADHYAY MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ARINDAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BANDYOPADHYAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD PA
Authorized Official - Phone:512-346-0271
Mailing Address - Street 1:16605 SOUTHWEST FWY STE 330
Mailing Address - Street 2:MOB #3
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3500
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16605 SOUTHWEST FWY STE 330
Practice Address - Street 2:MOB #3
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3500
Practice Address - Country:US
Practice Address - Phone:832-886-4052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
M2550174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
H35518Medicare UPIN
00868ZMedicare PIN