Myla, Latha
Myla, Latha is an individual health care provider with primary practice located at 11133 Dunn Rd Ste 2427 , Saint Louis MO 63136-6163. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Myla, Latha can be contacted via phone (314) 653-5643.Contact Information
Primary practice address
11133 Dunn Rd Ste 2427
Saint Louis MO 63136-6163
Phone: (314) 653-5643
Fax: (314) 653-5648
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2001014849 | Missouri |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2001014849 | Missouri |
Profile Details
| NPI number | 1972576890 |
|---|---|
| LBN Legal business name | Myla, Latha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Feb 19th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972576890 | NPPES |
| Illinois | MEDICAID | 1972576890 | |
| Illinois | MEDICAID | 205328701 |
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