Individual
DR. GAUTUM AGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
607 S NEW BALLAS RD STE 3100, SAINT LOUIS, MO 63141-8219
(314) 251-8850
Mailing address
607 S NEW BALLAS RD STE 3100, SAINT LOUIS, MO 63141-8219
(314) 251-8850
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2015018625
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780880633
—
MO
Enumeration date
06/26/2007
Last updated
10/26/2023
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