Provider Demographics
NPI:1316921901
Name:DAS, AMAL KUMAR JR (MD)
Entity type:Individual
Prefix:
First Name:AMAL
Middle Name:KUMAR
Last Name:DAS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 27877
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84127-0877
Mailing Address - Country:US
Mailing Address - Phone:828-694-8385
Mailing Address - Fax:828-694-7654
Practice Address - Street 1:2315 ASHEVILLE HWY
Practice Address - Street 2:SUITE 20
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791
Practice Address - Country:US
Practice Address - Phone:828-692-4356
Practice Address - Fax:828-697-0148
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-06
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC33226207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
611186890OtherCORVEL
611186890OtherUNITED HEALTHCARE
27099OtherBCBS NC
611186890OtherHEALTHCARE SAVINGS
D8416OtherMEDCOST
611186890OtherCOMPCARE KEYRISK
P00179883OtherRR MEDICARE
611186890OtherFOCUS
NCNCF484F380OtherMEDICARE PTAN
611186890OtherBEECHSTREET
NC8927099Medicaid
1987384OtherCIGNA HEALTHCARE
611186890OtherTRICARE HUMANA
611186890OtherFIRST HEALTH
NCP01333437OtherRR MEDICARE
611186890OtherCRESENT
611186890OtherCCN
611186890OtherCOMPCARE KEYRISK
27099OtherBCBS NC