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Contact Information

PRATIBHA N GURUSIDDAIYA, MD
1 JEFFERSON BARRACKS DR
SAINT LOUIS, MO63125-4181
 Phone: 314-894-6552
 Fax: 314-845-5073
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for PRATIBHA N GURUSIDDAIYA · (Female)

NPI # 1316990989
Status Active
Credentials MD
Entity Individual
Enumeration date 05/17/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # 113455
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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