Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Sudip K Bose

Individual provider Emergency Medical Services (Emergency Medicine) Physician · NPI 1679537260

Dr. Sudip K Bose is an Emergency Medicine in Dallas, Texas. Graduated from Northwestern University Feinberg Medical School in 1999, 27 years ago. Practices with Round Table Physicians Group PLLC, a 79-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
27
Trained at
Northwestern University Feinberg Medical School
Licensed in
TX
In the registry since
2006

Practice location Address checks out

9229 Lbj Fwy
Dallas, TX 75243-3405
Phone: (972) 739-3710
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary) Taxonomy 207PE0004X · Licence L5682 (TX)

Record details

NPI number1679537260
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 12, 2006
Last updated in NPPESMarch 31, 2009
Mailing address9229 Lbj Fwy, Dallas, TX 75243-3405

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 1999 (27 years in practice)
Group practice Round Table Physicians Group Pllc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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