Individual
WILSON PRAKASH PAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2007012297
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407982200
IL MCD
IL
05
—
1407982200
—
MO
01
—
493716
COVENTRY
MO
Enumeration date
02/26/2007
Last updated
06/09/2026
Update your record
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