Individual
NISHI VINESH KANSARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1465 SOUTH GRAND BOULEVARD, 2ND FLOOR GLENNON HALL, ROOM 2717, ST LOUIS, MO 63104-1003
(314) 577-5634
(314) 577-5616
Mailing address
1465 SOUTH GRAND BOULEVARD, 2ND FLOOR GLENNON HALL, ROOM 2717, ST LOUIS, MO 63104-1003
(314) 577-5634
(314) 577-5616
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/21/2025
Last updated
01/22/2026
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