Basic Information
Provider Information
NPI: 1669828109
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DAS
FirstName: ROHAN
MiddleName:  
NamePrefix: DR.
NameSuffix: I
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 PERKINS SQ
Address2:  
City: AKRON
State: OH
PostalCode: 443081063
CountryCode: US
TelephoneNumber: 3305435015
FaxNumber:  
Practice Location
Address1: 320 E NORTH AVE
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152124756
CountryCode: US
TelephoneNumber: 4123304242
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/13/2016
LastUpdateDate: 09/09/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/09/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0804X34.015309OHY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
390200000X PAN Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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