Individual
MR. BASANTA SUBEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6420 CLAYTON ROAD, ST LOUIS, MO 63117
(314) 768-8000
Mailing address
6420 CLAYTON ROAD, ST LOUIS, MO 63117
(314) 768-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2022025499
MO
208M00000X
Hospitalist Physician
Primary
2022025499
MO
Other
Enumeration date
05/02/2019
Last updated
05/08/2024
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