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Individual

DR. SANGEETA PANDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11125 DUNN RD, SUITE 206, SAINT LOUIS, MO 63136-6132
(314) 741-1600
(314) 741-1677
Mailing address
11155 DUNN RD, STE 211N, SAINT LOUIS, MO 63136-6166
(314) 741-1600
(314) 741-1677

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
2000155017
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
209092907
MO
01
431965218
EMPLOYER TAX ID#
MO
Enumeration date
05/19/2006
Last updated
09/03/2020
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