Individual
MR. NITIN GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6420 CLAYTON ROAD, SSM ST. MARY'S HOSPITAL, ST. LOUIS, MO 63117-1811
(314) 768-8778
Mailing address
6420 CLAYTON ROAD, SSM ST. MARY'S HOSPITAL, ST. LOUIS, MO 63117-1811
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2024017640
MO
Other
Enumeration date
06/13/2024
Last updated
12/31/2024
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