1316921901 NPI number — AMAL KUMAR DAS JR. MD

Table of content: AMAL KUMAR DAS JR. MD (NPI 1316921901)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316921901 NPI number — AMAL KUMAR DAS JR. MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DAS
Provider First Name:
AMAL
Provider Middle Name:
KUMAR
Provider Name Prefix Text:
Provider Name Suffix Text:
JR.
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316921901
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/30/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 27877
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SALT LAKE CITY
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84127-0877
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-694-8385
Provider Business Mailing Address Fax Number:
828-694-7654

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2315 ASHEVILLE HWY
Provider Second Line Business Practice Location Address:
SUITE 20
Provider Business Practice Location Address City Name:
HENDERSONVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28791
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-692-4356
Provider Business Practice Location Address Fax Number:
828-697-0148
Provider Enumeration Date:
12/06/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X , with the licence number:  33226 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 611186890 . This is a "CORVEL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 611186890 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 27099 . This is a "BCBS NC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 611186890 . This is a "HEALTHCARE SAVINGS" identifier . This identifiers is of the category "OTHER".
  • Identifier: D8416 . This is a "MEDCOST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 611186890 . This is a "COMPCARE KEYRISK" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00179883 . This is a "RR MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 611186890 . This is a "FOCUS" identifier . This identifiers is of the category "OTHER".
  • Identifier: NCF484F380 . This is a "MEDICARE PTAN" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 611186890 . This is a "BEECHSTREET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8927099 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1987384 . This is a "CIGNA HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 611186890 . This is a "TRICARE HUMANA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 611186890 . This is a "FIRST HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: P01333437 . This is a "RR MEDICARE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 611186890 . This is a "CRESENT" identifier . This identifiers is of the category "OTHER".
  • Identifier: 611186890 . This is a "CCN" identifier . This identifiers is of the category "OTHER".




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