Provider Demographics
NPI:1447230404
Name:DAS, ANITA KRISHNA (MD)
Entity type:Individual
Prefix:MISS
First Name:ANITA
Middle Name:KRISHNA
Last Name:DAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 DOCTORS DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-7209
Mailing Address - Country:US
Mailing Address - Phone:828-687-3800
Mailing Address - Fax:828-687-1814
Practice Address - Street 1:27 DOCTORS DRIVE
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-7209
Practice Address - Country:US
Practice Address - Phone:828-687-3800
Practice Address - Fax:828-687-1814
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200300137207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
63929OtherBCBS NC
NC89134HNMedicaid
NC2014137Medicare ID - Type Unspecified
NC89134HNMedicaid