Provider Demographics
NPI:1073834768
Name:DAS, RUPAM K (MD)
Entity Type:Individual
Prefix:DR
First Name:RUPAM
Middle Name:K
Last Name:DAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 783311
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-3311
Mailing Address - Country:US
Mailing Address - Phone:484-884-4500
Mailing Address - Fax:484-884-0699
Practice Address - Street 1:2597 SCHOENERSVILLE RD STE 100
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7325
Practice Address - Country:US
Practice Address - Phone:610-402-8900
Practice Address - Fax:484-884-5594
Is Sole Proprietor?:No
Enumeration Date:2010-06-16
Last Update Date:2018-11-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD455240208600000X, 207X00000X
PAMT197398208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery