Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | G86193 | CA |
NPI | 1023109766 |
---|---|
Provider Name | Asha Das |
First Address | San Diego, CA 92109-5754 |
Second Address | San Diego, CA 92109-5754 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 24/12/2016 |