Barashi Gozal, Nimrod Shabtai
Barashi Gozal, Nimrod Shabtai is an individual health care provider with primary practice located at 111 Saint Lukes Center Dr Ste 24B , Chesterfield MO 63017-3509. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Barashi Gozal, Nimrod Shabtai can be contacted via phone (636) 685-7830.Contact Information
Primary practice address
111 Saint Lukes Center Dr Ste 24B
Chesterfield MO 63017-3509
Phone: (636) 685-7830
Fax: (314) 590-5971
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 2024000198 | Missouri |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1144726084 |
|---|---|
| LBN Legal business name | Barashi Gozal, Nimrod Shabtai |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2018 |
| Last updated | Jun 4th, 2024 - about 5 months ago |
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 | 1144726084 | NPPES |
| Missouri | MEDICAID | 200094624 |
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