KISHORE KUMAR DASS


Address: 3343 State Road 7, Wellington, FL 33449-8002
Phone: 5617959845

KISHORE KUMAR DASS (NPI# 1245229533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245229533
Entity Type Individual
Full Name KISHORE KUMAR DASS
Credential M.D.
Practice Address 3343 State Road 7
Wellington
FL 33449-8002
Mailing Address 2234 Colonial Blvd
Attn: Payer Contracting & Relations Dept.
Fort Myers
FL 33907-1412
Practice Telephone 5617959845
Practice Fax Number 5617958791
Mailing Telephone 2399317342
Mailing Fax Number 2399317385
Enumeration Date 2005-10-19
Last Update Date 2016-10-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
ME63945 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL OPTIMUM P939537 01
FL BCBS 23468 01
FL FREEDOM P994725 01
FL WELLCARE 464471 01
FL AETNA 5744141 01
FL RR MEDICARE P01560757 01
FL 376487700 05
FL DIMENSION 4013 01
FL AVMED 210526 01

Office Location

Street Address 3343 STATE ROAD 7
City WELLINGTON
State FL
Zip Code 33449-8002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740287846 Sandra Patricia Sanchez Surgery 3343 State Road 7, Wellington, FL 33449-8002 2005-07-05
1326469685 Sfm Oncology II Internal Medicine 3343 State Road 7, Wellington, FL 33449 2014-01-03
1861624801 South Florida Medicine LLC Urology 3343 State Road 7, Wellington, FL 33449 2009-08-10
1295926277 Alicia Eve Gittleman Radiology 3343 State Road 7, Wellington, FL 33449-8002 2007-08-06
1518057629 Eugene C Shieh Radiology 3343 State Road 7, Wellington, FL 33449-8002 2006-10-13
1376598995 Andrew W O'leary Radiology 3343 State Road 7, Wellington, FL 33449-8002 2006-05-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891324398 Rachel Hoffmann Speech-Language Pathologist 3377 S State Rd 7, Wellington, FL 33449 2020-04-06
1124668371 Meaghan Margaret Birakis Dermatology 3319 Fl-7 #202, Wellington, FL 33449 2020-01-15
1750858148 Lean On Me Companion LLC Homemaker 10048 Southern Pride Place, Lake Worth, FL 33449 2018-10-24
1851833958 Caroline Pena Acupuncturist 3347 S State Road 7 Ste 200, Wellington, FL 33449 2016-11-07
1467823294 Sophia Dionne Lyn Chinque Nurse Practitioner 10358 Olde Clydesdale Circle, Lake Worth, FL 33449 2015-10-20
1285987057 Jose L. Martinez Md Pa Internal Medicine 11653 South Breeze Pl, Wellington, FL 33449 2012-10-18
1396017224 Joseph Harold Cohen Internal Medicine 4431jamesestatelane, Wellington, FL 33449 2012-02-08
1215223870 Apollo Medical Management Non-Pharmacy Dispensing Site 3347 State Rd 7, Suite 203, Wellington, FL 33449 2011-06-22
1568757987 Rishi Jay Panchal Internal Medicine 3347 S State Road 7 Ste 203, Wellington, FL 33449 2011-06-14
1194987222 Advanced Surgery Center of Palm Beach County, LLC Clinic/Center 5065 South State Rd 7, Suite 100, Lake Worth, FL 33449 2008-06-30
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295926277 Alicia Eve Gittleman Radiology 3343 State Road 7, Wellington, FL 33449-8002 2007-08-06
1518057629 Eugene C Shieh Radiology 3343 State Road 7, Wellington, FL 33449-8002 2006-10-13
1376598995 Andrew W O'leary Radiology 3343 State Road 7, Wellington, FL 33449-8002 2006-05-23
1114982717 Claude A Harmon Radiology 10141 W Forest Hill Blvd, Wellington, FL 33414-6103 2006-04-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114539079 Mydoctoreb LLC Radiology 17407 Lotino Pl, Lutz, FL 33548-4815 2020-08-20
1417516600 Arthur J. Iglesias, M.d. P.a. Radiology 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 2019-06-11
1962970111 William A Assad, M.d. Radiology 3202 Henderson Blvd Ste 204a, Tampa, FL 33609-3043 2018-11-06
1508361361 Marian Ingram Radiology 350 Nw 84th Ave Ste 102, Plantation, FL 33324-1820 2018-03-26
1376051870 Indian River Health Services Inc Radiology 3555 10th Ct Ste 101, Vero Beach, FL 32960-5013 2018-01-18
1417492497 Flagler Hospital, Inc. Radiology 97 Health Park Blvd, Saint Augustine, FL 32086-5777 2016-12-29
1447614441 Benjamin Spieler Radiology 1475 Nw 12th Ave # Sccc1500, Miami, FL 33136-1002 2016-04-06
1629461371 Florida Oncology Tavares, LLC Radiology 2010 Nightingale Ln, Tavares, FL 32778-4361 2015-03-05
1285042036 Gulf Region Radiation Oncology Centers Radiology 1545 Airport Blvd Ste 1000, Pensacola, FL 32504-8615 2014-07-24
1962812917 Florida Oncology Partners LLC Radiology 1100 N.w. 95 Street, Cancer Center, Miami, FL 33150-2038 2014-04-29
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Competitor

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City WELLINGTON
Zip Code 33449

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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