Individual
KISHORE KUMAR DASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3343 STATE ROAD 7, WELLINGTON, FL 33449-8002
(561) 795-9845
(561) 795-8791
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME63945
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210526
AVMED
FL
01
—
23468
BCBS
FL
05
—
376487700
—
FL
01
—
4013
DIMENSION
FL
01
—
464471
WELLCARE
FL
01
—
5744141
AETNA
FL
01
—
P01560757
RR MEDICARE
FL
01
—
P939537
OPTIMUM
FL
01
—
P994725
FREEDOM
FL
Enumeration date
10/19/2005
Last updated
10/20/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us