Individual
DR. SHIBENDRA DAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6005 PARK AVE, MEMPHIS, TN 38119-5202
(901) 682-2872
Mailing address
PO BOX 171181, MEMPHIS, TN 38187-1181
(901) 682-2872
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD6938
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000150607
BETTER HEALTH
TN
01
—
050051852
RR MEDICARE
—
01
—
05789561
MISSISSIPPI MEDICAID
MS
01
—
2005233
BLUE CROSS
TN
01
—
2040383
UNITED HEALTHCARE
TN
05
—
3149494
—
TN
01
—
9099
TLC
TN
01
—
B59222
HEALTHSPRING
TN
Enumeration date
07/08/2006
Last updated
01/26/2010
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