Healthcare Provider Details

I. General information

NPI: 1255650776
Provider Name (Legal Business Name): NIRANJAN DASS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2010
Last Update Date: 03/16/2021
Certification Date: 03/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 F ST STE 210
BAKERSFIELD CA
93301-1850
US

IV. Provider business mailing address

2700 F ST STE 210
BAKERSFIELD CA
93301-1850
US

V. Phone/Fax

Practice location:
  • Phone: 661-631-2229
  • Fax: 617-421-6446
Mailing address:
  • Phone: 661-631-2229
  • Fax: 617-421-6446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA125555
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: