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Individual

DR. BISHNU P DEVKOTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3691 RUTGER ST, SAINT LOUIS, MO 63110-2515
(314) 977-6828
(314) 977-6777
Mailing address
2325 DOUGHERTY FERRY RD, SUITE 100, SAINT LOUIS, MO 63122-3356
(314) 977-9600
(314) 977-9627

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15547R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1476056
LA
Enumeration date
02/06/2007
Last updated
04/25/2008
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