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Individual

DR. SUNDEEP JAYAPRABHU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
230 S BEMISTON AVE STE 1213, SAINT LOUIS, MO 63105-1907
(314) 862-7755
(855) 503-2776
Mailing address
230 S BEMISTON AVE STE 1213, SAINT LOUIS, MO 63105-1907
(314) 862-7755
(855) 503-2776

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
2084P0800X
Psychiatry Physician
Primary
2007027060
MO

Other

Enumeration date
05/31/2007
Last updated
12/22/2021
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