Organization
GASTROENTEROLOGY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KISHORE MAGANTY MD (PHYSICIAN OWNER)
(314) 724-1348
Entity
Organization
Contact information
Practice address
522 N NEW BALLAS RD STE 210, SAINT LOUIS, MO 63141-6829
(314) 724-1348
Mailing address
18 LADUE CT, SAINT LOUIS, MO 63141-7803
(314) 724-1348
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
10/06/2019
Last updated
10/06/2019
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