Individual
DR. BAIJAYANTA MAITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, DIV NEUROLOGY MOVEMENT DISORDERS, 7TH FL, SAINT LOUIS, MO 63110-1032
(314) 362-6908
(314) 747-3258
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-6908
(314) 747-3258
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
2013020321
MO
2084N0400X
Neurology Physician
Primary
2013020321
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200013985
—
MO
Enumeration date
06/29/2009
Last updated
04/17/2025
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