Nanda, Jyotirmaya
Nanda, Jyotirmaya is an individual health care provider with primary practice located at 1101 Highway K , O Fallon MO 63366-8431. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Nanda, Jyotirmaya can be contacted via phone (636) 379-8138.Contact Information
Primary practice address
1101 Highway K
O Fallon MO 63366-8431
Phone: (636) 379-8138
Fax: (636) 669-2401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 108214 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 108214 | Missouri |
Profile Details
| NPI number | 1629039714 |
|---|---|
| LBN Legal business name | Nanda, Jyotirmaya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 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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