1427055250 NPI number — BABULAL DAS MD

Table of content: BABULAL DAS MD (NPI 1427055250)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427055250 NPI number — BABULAL DAS MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DAS
Provider First Name:
BABULAL
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
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:
1427055250
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/01/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
106 MILFORD ST
Provider Second Line Business Mailing Address:
STE 504B
Provider Business Mailing Address City Name:
SALISBURY
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21804-6953
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-546-5954
Provider Business Mailing Address Fax Number:
410-219-3038

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
106 MILFORD ST
Provider Second Line Business Practice Location Address:
STE 504B
Provider Business Practice Location Address City Name:
SALISBURY
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21804-6953
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-546-5954
Provider Business Practice Location Address Fax Number:
410-219-3038
Provider Enumeration Date:
07/07/2005

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: 207R00000X , with the licence number:  D0057952 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 21728011 . This is a "UHC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0000467701 . This is a "MADE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000799857 . This is a "AMERIHEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 510427 . This is a "USHC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 251300 . This is a "BSVA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 32014 . This is a "DHP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4393240 . This is a "AETN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00A694M21 . This is a "MBDE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 110140803 . This is a "MBRR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 50014 . This is a "BSDC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 61388104 . This is a "BSMD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 191308 . This is a "AMERIGROUP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 545418200 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 699235800 . This is a "MAMD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 30773 . This is a "PP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 843455 . This is a "MAMS" identifier . This identifiers is of the category "OTHER".




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