Doctor Name: | DR. SANGEETA PANDE |
NPI Number: | 1154375970 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 2000155017 |
Business Practice Address: | 11125 Dunn Rd Suite 206 Saint Louis, MO - 631366132 |
Business Phone Number: | 3147411600 |
Business Fax Number: | 3147411677 |
Mailing Address: | Po Box 503512, SAINT LOUIS |
State: | MO |
Postal Code: | 631500001 |
Phone Number: | 3144322580 |
Fax Number: | 3144320223 |
NPI Enumeration Date: | 05/19/2006 |
NPI Last Update Date: | 06/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 2000155017 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |