Individual
JISHU K. DAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-7499
(614) 366-2360
Mailing address
700 ACKERMAN RD, SUITE 570, COLUMBUS, OH 43202-1559
(614) 293-7499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01071114A
IN
207R00000X
Internal Medicine Physician
35.128748
OH
207R00000X
Internal Medicine Physician
5315039475
MI
208M00000X
Hospitalist Physician
Primary
35.128748
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0184391
—
OH
05
—
201082730
—
IN
Enumeration date
06/30/2009
Last updated
02/21/2019
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