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NPI Code Detail

MEDICARE: ANANYA DAS PA-C

MEDICARE: ANANYA DAS PA-C
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
1363A00000XPhysician AssistantPA13160TX

General Provider Information

NPI Number : 1417509332
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANANYA DAS PA-C
Provider Business Mailing Address
First Line : 1528 BREWSTER DR
Second Line :
City : CARROLLTON
State : TX
Zip : 75010-6444
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8390 LYNDON B JOHNSON FWY STE 1000
Second Line :
City : DALLAS
State : TX
Zip : 75243-1288
Country : US
Telephone Number : 214-750-9977
Fax Number : 214-750-9983
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2019
Last Update Date : 02/04/2026

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Directions to “ ANANYA DAS PA-C” Practice Location

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