Individual
MR. GURPREET PADDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5203 CHIPPEWA ST, SUITE 301, SAINT LOUIS, MO 63109-2356
(314) 481-5000
Mailing address
5203 CHIPPEWA ST, SUITE 301, SAINT LOUIS, MO 63109-2356
(314) 481-5000
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
100572
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118505
GHP
MO
01
—
149848
BLUE CROSS BLUE SHILED
MO
01
—
175746
HELATH LINK
MO
01
—
2001272
UHC
MO
01
—
4647144
AETNA
MO
01
—
7200000096
MEDICARE RAIL ROAD
MO
Enumeration date
12/27/2005
Last updated
02/18/2011
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