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NPI Code Detail

MEDICARE: DR. SUNDEEP DAS M.D.

MEDICARE: DR. SUNDEEP DAS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0011XInterventional Cardiology Physician118755MO
2207RI0011XInterventional Cardiology Physician036101106IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548274749
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUNDEEP DAS M.D.
Provider Business Mailing Address
First Line : 11155 DUNN RD
Second Line : STE 304E
City : SAINT LOUIS
State : MO
Zip : 63136-6150
Country : US
Telephone Number : 314-741-0911
Fax Number : 314-741-0501
Provider Business Practice Location Address
First Line : 3550 MCKELVEY RD
Second Line :
City : BRIDGETON
State : MO
Zip : 63044-2527
Country : US
Telephone Number : 314-741-0911
Fax Number : 314-741-0501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 07/03/2025

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Directions to “ DR. SUNDEEP DAS M.D.” Practice Location

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