Individual
SANJAY REUBEN DASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16221 SAINT VINCENT WAY, LITTLE ROCK, AR 72223-9072
(501) 552-8150
(501) 552-8199
Mailing address
16221 SAINT VINCENT WAY, LITTLE ROCK, AR 72223-9072
(501) 552-8150
(501) 552-8199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E4008
AR
207QG0300X
Geriatric Medicine (Family Medicine) Physician
E-4008
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157860001
—
AR
Enumeration date
04/20/2006
Last updated
09/27/2024
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