Individual
DR. AMEESH DARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
777 S NEW BALLAS RD STE 328W, SAINT LOUIS, MO 63141-8748
(314) 869-0370
(314) 869-5098
Mailing address
1234 LAY RD, SAINT LOUIS, MO 63124-1872
(314) 456-6659
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
036.148828
IL
207RN0300X
Nephrology Physician
Primary
2019015695
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2014
Last updated
03/19/2022
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