Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SOURAV DAS, MD
Active Sole ProprietorDR. SOURAV DAS, MD is a Sports Medicine healthcare provider located in VICTORVILLE, California. NPI 1174805279 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · VICTORVILLE, CA
Registration Details
- NPI Number
- 1174805279
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2011 (14.958181648075 yrs)
- Last Updated
- Oct 3, 2025
- License
-
A140660 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13010 HESPERIA RD STE 501VICTORVILLE, CA, 923958315Browse CA providers · Browse ZIP 92395
- Phone
- 4424272441
- Fax
- 4424272477
- Primary Specialty
-
Sports Medicine
207QS0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.