Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | MD051444L | PA |
NPI | 1053310821 |
---|---|
Provider Name | Dr. Akhil K Das |
First Address | Philadelphia, PA 19107-4414 |
Second Address | Philadelphia, PA 19107-4414 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2005 |
Last Update Date | 16/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201027793 | PRESBYTERIAN HP (01) | NM |
2340092 | UNITED HC (01) | NM |
B9141 | (05) | NM |
G18450 | (02) | NM |
NM009J59 | BCBS (01) | NM |