Individual
DR. JYOTIRMAYA NANDA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 HIGHWAY K, O FALLON, MO 63366-8431
(636) 379-8138
(636) 669-2401
Mailing address
1551 WALL ST, SUITE 310, SAINT CHARLES, MO 63303-3539
(636) 669-2268
(636) 669-2401
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
108214
MO
207R00000X
Internal Medicine Physician
Primary
108214
MO
Other
Enumeration date
03/29/2006
Last updated
09/11/2025
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