Provider Demographics
NPI:1497756175
Name:DUBEY, SWAPAN (MD)
Entity Type:Individual
Prefix:
First Name:SWAPAN
Middle Name:
Last Name:DUBEY
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 1:311 REINERMAN ST.
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007
Mailing Address - Country:US
Mailing Address - Phone:832-567-9511
Mailing Address - Fax:
Practice Address - Street 1:1211 HIGHWAY 6
Practice Address - Street 2:SUITE 1
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4941
Practice Address - Country:US
Practice Address - Phone:281-494-4832
Practice Address - Fax:281-494-7399
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8742207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX104138607Medicaid
TX104138604Medicaid
TX104138601Medicaid
TX104138603Medicaid
TX89313XOtherBCBS
TX8S4402OtherBCBS
TX104138606OtherCSHCN
TX8579N0Medicare PIN
TX89313XOtherBCBS
TX104138606OtherCSHCN
TX104138603Medicaid
TX104138607Medicaid
TX104138604Medicaid
TX104138601Medicaid