Individual
SUBHASH GUJARATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2620 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3396
(573) 686-5300
(573) 727-2496
Mailing address
PO BOX 958262, SAINT LOUIS, MO 63195-8262
(573) 686-5300
(573) 727-2496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R1B72
MO
Other
Enumeration date
12/26/2006
Last updated
07/09/2007
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