Provider Demographics
NPI:1184656282
Name:SENGUPTA, DILIP KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:DILIP
Middle Name:KUMAR
Last Name:SENGUPTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1632 PICCADILLY CT
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-9154
Mailing Address - Country:US
Mailing Address - Phone:603-369-1281
Mailing Address - Fax:682-333-0129
Practice Address - Street 1:1632 PICCADILLY CT
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-9154
Practice Address - Country:US
Practice Address - Phone:682-333-0119
Practice Address - Fax:682-333-0129
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH12405207X00000X
TXQ2386207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3072435Medicaid
VT1010733Medicaid
NH3072435Medicaid
NHNX3165Medicare PIN