MEDICARE: DR. SUMIT K DAS M.D.

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	174400000X	Specialist	10456	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	24159	OTHER	RI	BCBS RI - BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	408189	OTHER	RI	BCBSRI - BLUE CHIP
4	4177	OTHER	RI	NHP
5	12278	OTHER	RI	HARVARD PILGRIM
6	010456	OTHER	RI	TUFTS
7	0600082	OTHER	RI	UNITED HEALTH CARE
8	5656733	OTHER	RI	AETNA

General Provider Information

NPI Number	:	1932180429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUMIT K DAS M.D.

Provider Business Mailing Address
First Line	:	1526 ATWOOD AVE
Second Line	:	SUITE 200
City	:	JOHNSTON
State	:	RI
Zip	:	02919-3289
Country	:	US
Telephone Number	:	401-270-5395
Fax Number	:	401-270-7635

Provider Business Practice Location Address
First Line	:	1526 ATWOOD AVE
Second Line	:	SUITE 200
City	:	JOHNSTON
State	:	RI
Zip	:	02919-3289
Country	:	US
Telephone Number	:	401-270-5395
Fax Number	:	401-270-7635

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

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	02/13/2008

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Directions to “ DR. SUMIT K DAS M.D.” Practice Location

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