Provider Demographics
NPI:1356440747
Name:DAS, DHIRENDRA NATH (MD, FACC, FACP)
Entity Type:Individual
Prefix:DR
First Name:DHIRENDRA
Middle Name:NATH
Last Name:DAS
Suffix:
Gender:M
Credentials:MD, FACC, FACP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:342 HAMBURG TPKE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2162
Mailing Address - Country:US
Mailing Address - Phone:973-790-5357
Mailing Address - Fax:973-790-0007
Practice Address - Street 1:342 HAMBURG TPKE
Practice Address - Street 2:SUITE 208
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2162
Practice Address - Country:US
Practice Address - Phone:973-790-5357
Practice Address - Fax:973-790-0007
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA035198207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease