Individual
DINU P GANGURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BJC BEHAVIORAL HEALTH, 3165 MCKELVEY RD, STE. 200, BRIDGETON, MO 63044-2550
(314) 206-3900
Mailing address
7225 CLAYTON RD, SAINT LOUIS, MO 63117-1506
(314) 517-3497
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2002027109
MO
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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