Basic Information
| Provider Information | |||||||||
| NPI: | 1316921901 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DAS | ||||||||
| FirstName: | AMAL | ||||||||
| MiddleName: | KUMAR | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 27877 | ||||||||
| Address2: | |||||||||
| City: | SALT LAKE CITY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 841270877 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286948385 | ||||||||
| FaxNumber: | 8286947654 | ||||||||
| Practice Location | |||||||||
| Address1: | 2315 ASHEVILLE HWY | ||||||||
| Address2: | SUITE 20 | ||||||||
| City: | HENDERSONVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 28791 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286924356 | ||||||||
| FaxNumber: | 8286970148 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/06/2005 | ||||||||
| LastUpdateDate: | 03/30/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 03/30/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 33226 | NC | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 611186890 | 01 | CORVEL | OTHER | 611186890 | 01 | UNITED HEALTHCARE | OTHER | 27099 | 01 | BCBS NC | OTHER | 611186890 | 01 | HEALTHCARE SAVINGS | OTHER | D8416 | 01 | MEDCOST | OTHER | 611186890 | 01 | COMPCARE KEYRISK | OTHER | P00179883 | 01 | RR MEDICARE | OTHER | 611186890 | 01 | FOCUS | OTHER | NCF484F380 | 01 | NC | MEDICARE PTAN | OTHER | 611186890 | 01 | BEECHSTREET | OTHER | 8927099 | 05 | NC | MEDICAID | 1987384 | 01 | CIGNA HEALTHCARE | OTHER | 611186890 | 01 | TRICARE HUMANA | OTHER | 611186890 | 01 | FIRST HEALTH | OTHER | P01333437 | 01 | NC | RR MEDICARE | OTHER | 611186890 | 01 | CRESENT | OTHER | 611186890 | 01 | CCN | OTHER |