Organization
NANO CONSULTANCY SERVICES LLC
Active
Other names
Gateway Transitionalists
Organization subpart
No
Provider details
NPI number
Authorized official
RAGHU IMMADISETTY (MANAGING DIRECTOR)
(561) 573-2592
Entity
Organization
Contact information
Practice address
11628 OLD BALLAS RD, SUITE 212, SAINT LOUIS, MO 63141-7030
(561) 573-2592
Mailing address
11628 OLD BALLAS RD, SUITE 212, SAINT LOUIS, MO 63141-7030
(561) 573-2592
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
08/11/2014
Last updated
08/27/2014
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