Provider Demographics
NPI:1407843972
Name:BANDYOPADHYAY, ARINDAM (MD)
Entity Type:Individual
Prefix:
First Name:ARINDAM
Middle Name:
Last Name:BANDYOPADHYAY
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 1:1672 INDEPENDENCE DR STE 310
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-3982
Mailing Address - Country:US
Mailing Address - Phone:830-730-5025
Mailing Address - Fax:830-730-4207
Practice Address - Street 1:1770 STATE HIGHWAY 46 W
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132-5391
Practice Address - Country:US
Practice Address - Phone:830-730-4375
Practice Address - Fax:830-730-4203
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2550207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX179012301Medicaid
8F1813Medicare ID - Type Unspecified
TX179012301Medicaid