Individual
PORAG JEET DAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 257-8000
(314) 977-1664
Mailing address
1008 S SPRING AVE, SAINT LOUIS, MO 63110-2520
(260) 531-4977
(314) 977-1664
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2023019939
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
04/07/2026
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