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NPI Code Detail

MEDICARE: JAIRAM DAS MD

MEDICARE: JAIRAM DAS MD
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
12084P0800XPsychiatry Physician2012003236MO

General Provider Information

NPI Number : 1164686176
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAIRAM DAS MD
Provider Business Mailing Address
First Line : 1700 MADISON PARK CT
Second Line :
City : COLUMBIA
State : MO
Zip : 65203-2592
Country : US
Telephone Number : 573-239-7478
Fax Number :
Provider Business Practice Location Address
First Line : 3401 BERRYWOOD DR
Second Line :
City : COLUMBIA
State : MO
Zip : 65201-8372
Country : US
Telephone Number : 573-777-8330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2008
Last Update Date : 03/12/2026

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