Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 35091644 | OH |
NPI | 1063461663 |
---|---|
Provider Name | Subinoy Das |
First Address | Columbus, OH 43214-4360 |
Second Address | Columbus, OH 43214-4360 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2006 |
Last Update Date | 02/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2843874 | (05) | OH |