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NPI Code Detail

MEDICARE: TAPASH DAS MD, PC

MEDICARE: TAPASH DAS MD, PC
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
1207R00000XInternal Medicine Physician33014AZ

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 : 1912284654
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAPASH DAS MD, PC
Provider Business Mailing Address
First Line : 2450 S 4TH AVE STE 108A
Second Line :
City : YUMA
State : AZ
Zip : 85364-7234
Country : US
Telephone Number : 928-317-9100
Fax Number : 929-317-9300
Provider Business Practice Location Address
First Line : 2400 S AVENUE A
Second Line :
City : YUMA
State : AZ
Zip : 85364-7127
Country : US
Telephone Number : 928-317-9100
Fax Number : 928-317-9300
Authorized Official
Title or Position : OWNER
Name : TAPASH K DAS
Credential : M.D.
Telephone Number : 928-317-9100
Provider Enumeration Date : 11/09/2011
Last Update Date : 11/09/2011

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