Provider Demographics
NPI:1285653733
Name:DAS, BALDEV G (MD)
Entity type:Individual
Prefix:DR
First Name:BALDEV
Middle Name:G
Last Name:DAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7 PINE WOODS RD
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12538-1650
Mailing Address - Country:US
Mailing Address - Phone:845-229-8870
Mailing Address - Fax:845-229-8871
Practice Address - Street 1:7 PINE WOODS RD
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:12538-1650
Practice Address - Country:US
Practice Address - Phone:845-229-8870
Practice Address - Fax:845-229-8871
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY111233208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY10482779OtherCAQH
NY267082OtherMVP HEALTH PLAN
NYP396145OtherOXFORD HEALTH PLAN
NY00429272Medicaid
NYC07842Medicare UPIN