Provider Demographics
NPI:1205444767
Name:DAS, SANJAY KUMAR (MD, MPH)
Entity type:Individual
Prefix:
First Name:SANJAY
Middle Name:KUMAR
Last Name:DAS
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 OSTRUM STREET BETHLEHEM
Mailing Address - Street 2:1ST FLOOR SUITE 1C-1013
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-0001
Mailing Address - Country:US
Mailing Address - Phone:484-526-2598
Mailing Address - Fax:
Practice Address - Street 1:801 OSTRUM STREET BETHLEHEM
Practice Address - Street 2:1ST FLOOR SUITE 1C-1013
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-0001
Practice Address - Country:US
Practice Address - Phone:484-526-2598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-20
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PAMT235035208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program