Provider Demographics
NPI:1942424684
Name:DAS, SHWETA (MD)
Entity Type:Individual
Prefix:
First Name:SHWETA
Middle Name:
Last Name:DAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:MEMORIAL MEDICAL CENTER
Mailing Address - Street 2:1086 FRANKLIN ST
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15905-4398
Mailing Address - Country:US
Mailing Address - Phone:814-534-3772
Mailing Address - Fax:814-534-3933
Practice Address - Street 1:MEMORIAL MEDICAL CENTER
Practice Address - Street 2:1086 FRANKLIN STREET
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15905-4398
Practice Address - Country:US
Practice Address - Phone:814-534-3772
Practice Address - Fax:814-534-3933
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT188276207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology