Individual
DR. MEGHNA PANNAGA NAGABHUSHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6420 CLAYTON RD, RICHMOND HEIGHTS, MO 63117-1811
(314) 768-8000
(314) 768-8011
Mailing address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2019014148
MO
207P00000X
Emergency Medicine Physician
5101020531
MI
207P00000X
Emergency Medicine Physician
5315060020
MI
Other
Enumeration date
06/24/2013
Last updated
05/15/2019
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