Provider Demographics
NPI:1871100917
Name:EMERGENCY AND INTERVENTIONAL SPECIALISTS, INC
Entity type:Organization
Organization Name:EMERGENCY AND INTERVENTIONAL SPECIALISTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEEPAK
Authorized Official - Middle Name:
Authorized Official - Last Name:DAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-841-8212
Mailing Address - Street 1:5626 GULF DR STE 100
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-4020
Mailing Address - Country:US
Mailing Address - Phone:727-841-8212
Mailing Address - Fax:
Practice Address - Street 1:5626 GULF DR STE 100
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4020
Practice Address - Country:US
Practice Address - Phone:727-841-8212
Practice Address - Fax:727-835-6276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty