Gurusiddaiya, Pratibha Nagenhalli
Gurusiddaiya, Pratibha Nagenhalli is an individual health care provider with primary practice located at 1 Jefferson Barracks Dr , Saint Louis MO 63125-4181. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as her primary health care specialty. Gurusiddaiya, Pratibha Nagenhalli can be contacted via phone (314) 894-6552.Contact Information
Primary practice address
1 Jefferson Barracks Dr
Saint Louis MO 63125-4181
Phone: (314) 894-6552
Fax: (314) 845-5073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 113455 | Missouri |
Profile Details
| NPI number | 1316990989 |
|---|---|
| LBN Legal business name | Gurusiddaiya, Pratibha Nagenhalli |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 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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