Individual
VIJAY DAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5216 CLAYTON COURT, FORT MYERS, FL 33907
(239) 343-8260
(239) 424-2442
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-8260
(239) 343-8261
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME74834
FL
207RP1001X
Pulmonary Disease Physician
ME74834
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006790800
—
FL
05
—
01806179
—
NY
05
—
10025640400
—
NE
Enumeration date
06/30/2006
Last updated
03/25/2021
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