Provider Demographics
NPI:1811170533
Name:DAS, ARJUN (MD)
Entity type:Individual
Prefix:DR
First Name:ARJUN
Middle Name:
Last Name:DAS
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 1:2109 HUGHES DR
Mailing Address - Street 2:SUITE 920
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606
Mailing Address - Country:US
Mailing Address - Phone:419-479-2650
Mailing Address - Fax:419-479-2655
Practice Address - Street 1:2109 HUGHES DR STE 920
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-5116
Practice Address - Country:US
Practice Address - Phone:419-479-2650
Practice Address - Fax:194-479-2655
Is Sole Proprietor?:No
Enumeration Date:2007-12-17
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125-050035207R00000X
OH096006207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3111644Medicaid
OH4306841Medicare UPIN