Individual
MR. NIBESH PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3005 N BALLAS RD, ST LOUIS, MO 63131
(314) 996-4087
Mailing address
3005 N BALLAS RD, ST LOUIS, MO 63131
(314) 996-4087
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
03/31/2025
Last updated
09/02/2025
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