Individual
DR. ELLY BHUYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
443 N NEW BALLAS RD, SUITE 249, SAINT LOUIS, MO 63141-6800
(314) 872-7069
(314) 872-9103
Mailing address
443 N NEW BALLAS RD, SUITE 249, SAINT LOUIS, MO 63141-6800
(314) 872-7069
(314) 872-9103
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R8153
MO
Other
Enumeration date
11/01/2006
Last updated
08/05/2015
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