Individual
MAHAMAYA BHATTACHARYYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1717 BIDDLE ST, SAINT LOUIS, MO 63106-3454
(646) 404-1649
Mailing address
53 AMHERST WAY, PRINCETON JCT, NJ 08550-1836
(512) 838-4264
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101268279
VA
2084P0800X
Psychiatry Physician
Primary
2020023480
MO
2084P0800X
Psychiatry Physician
70106
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
05/07/2015
Last updated
04/11/2022
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