Provider Demographics
NPI:1689711657
Name:DAS & DAS M.D., P.C.
Entity Type:Organization
Organization Name:DAS & DAS M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SUBRAMONIUM
Authorized Official - Middle Name:K
Authorized Official - Last Name:DAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:334-875-2266
Mailing Address - Street 1:1013 MEDICAL CENTER PKWY
Mailing Address - Street 2:MEDICAL ARTS BUILDING II
Mailing Address - City:SELMA
Mailing Address - State:AL
Mailing Address - Zip Code:36701-6742
Mailing Address - Country:US
Mailing Address - Phone:334-875-2266
Mailing Address - Fax:334-875-2277
Practice Address - Street 1:1013 MEDICAL CENTER PKWY
Practice Address - Street 2:MEDICAL ARTS BUILDING II
Practice Address - City:SELMA
Practice Address - State:AL
Practice Address - Zip Code:36701-6742
Practice Address - Country:US
Practice Address - Phone:334-875-2266
Practice Address - Fax:334-875-2277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC73240Medicare UPIN
ALC75770Medicare UPIN