Provider Demographics
NPI:1972537868
Name:DAS, AKHAYA KUMAR (MD,FACP)
Entity Type:Individual
Prefix:DR
First Name:AKHAYA
Middle Name:KUMAR
Last Name:DAS
Suffix:
Gender:M
Credentials:MD,FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:831 ROUTE 52
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-1563
Mailing Address - Country:US
Mailing Address - Phone:845-897-3210
Mailing Address - Fax:845-897-3290
Practice Address - Street 1:831 ROUTE 52
Practice Address - Street 2:SUITE 2A
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-1563
Practice Address - Country:US
Practice Address - Phone:845-897-3210
Practice Address - Fax:845-897-3290
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY156048207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00923524Medicaid
NYE62440Medicare UPIN
NY00923524Medicaid