Provider Demographics
NPI:1538184072
Name:DAS, TAPASH KUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:TAPASH
Middle Name:KUMAR
Last Name:DAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2060 W 24TH ST
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-6123
Mailing Address - Country:US
Mailing Address - Phone:928-344-4216
Mailing Address - Fax:928-726-3799
Practice Address - Street 1:2060 W 24TH ST
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-6123
Practice Address - Country:US
Practice Address - Phone:928-344-4216
Practice Address - Fax:928-726-3799
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ33014207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1043324932OtherCLINIC NPI
1245344316OtherCLINIC NPI
1962507376OtherCLINIC NPI
1063433720OtherCLINIC NPI
AZ868599Medicaid
1063433720OtherCLINIC NPI
031822Medicare Oscar/Certification
AZZ107249Medicare PIN
AZZ21114Medicare PIN
AZZ21115Medicare PIN
1962507376OtherCLINIC NPI
1043324932OtherCLINIC NPI
I09257Medicare UPIN
031824Medicare Oscar/Certification
AZZ21130Medicare PIN
Z81836Medicare PIN
1245344316OtherCLINIC NPI
031823Medicare Oscar/Certification