Agarwal, Gautum
Agarwal, Gautum is an individual health care provider with primary practice located at 607 S New Ballas Rd Ste 3100 , Saint Louis MO 63141-8219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Agarwal, Gautum can be contacted via phone (314) 251-8850.Contact Information
Primary practice address
607 S New Ballas Rd Ste 3100
Saint Louis MO 63141-8219
Phone: (314) 251-8850
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 2015018625 | Missouri |
Profile Details
| NPI number | 1780880633 |
|---|---|
| LBN Legal business name | Agarwal, Gautum |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2007 |
| Last updated | Oct 26th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780880633 | NPPES |
| Missouri | MEDICAID | 1780880633 |
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