Provider Demographics
NPI:1255650776
Name:DASS, NIRANJAN (MD)
Entity Type:Individual
Prefix:DR
First Name:NIRANJAN
Middle Name:
Last Name:DASS
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 1:2700 F ST STE 210
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-1850
Mailing Address - Country:US
Mailing Address - Phone:661-631-2229
Mailing Address - Fax:617-421-6446
Practice Address - Street 1:2700 F ST STE 210
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1850
Practice Address - Country:US
Practice Address - Phone:661-631-2229
Practice Address - Fax:617-421-6446
Is Sole Proprietor?:No
Enumeration Date:2010-05-24
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA125555208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA125555OtherMEDICAL LICENSE
CAHL505ZMedicare PIN