Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 242164 | NY |
Y | 207RI0011X | Interventional Cardiology | 0101244252 | VA |
N | 207RI0011X | Interventional Cardiology | ME137310 | FL |
NPI | 1063598696 |
---|---|
Provider Name | Dr. Surjya P Das |
First Address | Fishersville, VA 22939-0388 |
Second Address | Fishersville, VA 22939-2332 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 26/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02873398 | (05) | NY |
I27705 | (02) | NY |