Individual
DR. SHILPI DAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-7000
(706) 475-7684
Mailing address
1500 OGLETHORPE AVE, SUITE 600F, ATHENS, GA 30606-2179
(706) 475-4639
(706) 475-4636
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
060447
GA
208000000X
Pediatrics Physician
Primary
060447
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01YP05102NH02
ANTHEM BC/BS
NH
01
—
020350051
FEDERAL TAX ID
—
01
—
11867
STATE LICENSE #
NH
01
—
2184240001
CIGNA HEALTHCARE
NH
05
—
30204719
—
NH
01
—
5830418
AETNA GROUP
—
01
—
P00100688
RAILROAD MEDICARE
—
Enumeration date
08/10/2005
Last updated
03/07/2023
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