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NPI Code Detail

MEDICARE: TARA SANKAR DAS MD

MEDICARE: TARA SANKAR 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
1207L00000XAnesthesiology Physician148762NY

Other Identifiers

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

General Provider Information

NPI Number : 1417979758
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARA SANKAR DAS MD
Provider Business Mailing Address
First Line : 2935 HYLAN BLVD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10306-4057
Country : US
Telephone Number : 718-987-2815
Fax Number :
Provider Business Practice Location Address
First Line : 2601 OCEAN PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-7745
Country : US
Telephone Number : 718-616-4408
Fax Number : 718-616-4105
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 07/08/2007

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