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Individual

DR. GLADWIN SUSEEKAR DAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.B., B.S.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35192
MN
207RI0011X
Interventional Cardiology Physician
Primary
35192
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1009081
PREFERRED ONE
MN
01
108605
UCARE
MN
01
25-00294
MEDICA CHOICE
MN
01
25-74659
MEDICA PRIMARY
MN
01
598508
ARAZ
MN
05
865524300
MN
01
8T849DA
BCBS
MN
01
HP22035
HEALTHPARTNERS
MN
Enumeration date
06/27/2006
Last updated
03/17/2016
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