Grewal, Sofia

Grewal, Sofia is an individual health care provider with primary practice located at 2639 Miami St , St Louis MO 63118. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Grewal, Sofia can be contacted via phone (314) 268-6195.

Contact Information

Primary practice address
2639 Miami St St Louis MO 63118
Fax: (314) 268-6155
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 106475 Missouri

Profile Details

NPI number 1265441299
LBN Legal business name Grewal, Sofia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Jul 8th, 2007 - about 17 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265441299 NPPES
Missouri MEDICAID 204687511
Missouri Other 6032C1

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