45D2017460 CLIA NUMBER - DEVABRATA GANGULY, MD

Laboratory Demographics

CLIA Number: 45D2017460

Facility Name: DEVABRATA GANGULY, MD

Facility Address:
3144 CLARKSVILLE STREET
PARIS, TX
ZIP 75460
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Facility Phone Number: 903 784-8700

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1225077274

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 45D2017460
LAB Type Physician Office
Facility Name DEVABRATA GANGULY, MD
Street 3144 CLARKSVILLE STREET
City PARIS
State TX
ZIP 75460
Phone 903 784-8700
CertificateType 4
CertificateEffectiveDate 12/13/2022
CertificateExpirationDate 12/12/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024