Individual
DR. PREMLATA SATISH NAYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 894-5770
Mailing address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 894-5770
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36245
MO
Other
Enumeration date
05/04/2006
Last updated
07/10/2007
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