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Individual

JOSEPH PRAVOOT GIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12990 MANCHESTER RD STE 201, DES PERES, MO 63131-1860
(314) 909-0633
(314) 909-0391
Mailing address
12990 MANCHESTER RD STE 201, DES PERES, MO 63131-1860
(314) 909-0633
(314) 909-0391

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
108456
MO
207W00000X
Ophthalmology Physician
MD.51039
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
121629
BCBS
MO
05
1861481152
MO
05
204686703
MO
01
406080
HEALTHLINK
MO
Enumeration date
10/19/2005
Last updated
06/25/2025
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