Individual
DR. SHEEL JITENDRA PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, DIV NEUROLOGY PEDIATRICS, STE 6C, SAINT LOUIS, MO 63110-1032
(314) 362-1408
(314) 454-2523
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-1408
(314) 454-2523
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
2014025255
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200015775
—
MO
Enumeration date
07/08/2008
Last updated
04/17/2025
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