MEDICARE: DOLON C. DAS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	L3619	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619972692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOLON C. DAS MD

Provider Business Mailing Address
First Line	:	PO BOX 980873
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-0873
Country	:	US
Telephone Number	:	281-252-9993
Fax Number	:	281-252-9997

Provider Business Practice Location Address
First Line	:	6560 FANNIN ST
Second Line	:	SUITE 1532
City	:	HOUSTON
State	:	TX
Zip	:	77030-2761
Country	:	US
Telephone Number	:	713-795-5005
Fax Number	:	713-795-5999

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	08/03/2011

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