Dass, Sanjay Reuben

Dass, Sanjay Reuben is an individual health care provider with primary practice located at 16221 Saint Vincent Way , Little Rock AR 72223. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Dass, Sanjay Reuben can be contacted via phone (347) 851-0116.

Contact Information

Primary practice address
16221 Saint Vincent Way Little Rock AR 72223
Phone: (347) 851-0116
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E4008 Arkansas
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X E-4008 Arkansas

Profile Details

NPI number 1265497242
LBN Legal business name Dass, Sanjay Reuben
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jul 1st, 2024 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265497242 NPPES
Arkansas MEDICAID 157860001

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