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Individual

KINGSHUK DAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11633 SAN VICENTE BLVD, REAR BUILDING, 4/F, LOS ANGELES, CA 90049-6511
(310) 794-2766
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 825-5000

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
A100259
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0A1002590
CA
Enumeration date
11/06/2006
Last updated
02/15/2011
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