Individual
PRAJAKTA MUNGIKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 BJC SAINT PETERS DR STE 200, SAINT PETERS, MO 63376
(636) 916-9615
(636) 916-9850
Mailing address
201 BJC SAINT PETERS DR STE 200, SAINT PETERS, MO 63376-3386
(636) 916-9615
(636) 916-9850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2017031878
MO
Other
Enumeration date
02/04/2014
Last updated
08/22/2018
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