Individual
LILY MAHAPATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 480-9740
Mailing address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 480-0740
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
BB4745785
MO
Other
Enumeration date
07/15/2018
Last updated
07/15/2018
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