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Individual

ANANYA PATHAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1225 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 257-8000
Mailing address
1225 S GRAND BLVD, SAINT LOUIS, MO 63104-1016

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2024033202
MO
363L00000X
Nurse Practitioner
F01251123
MO

Other

Enumeration date
02/28/2025
Last updated
08/06/2025
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