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Contact Information

JYOTIRMAYA NANDA, MD
1101 HIGHWAY K
O'FALLON, MO63366-8431
 Phone: 636-379-8138
 Fax: 636-669-2401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JYOTIRMAYA NANDA · (Male)

NPI # 1629039714
Status Active
Credentials MD
Entity Individual
Enumeration date 03/29/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # 108214
Hospital affiliation(s)
  • SSM ST JOSEPH HEALTH CENTER - (Acute Care)
    300 1ST CAPITOL DR
    SAINT CHARLES, MO 63301
  • SSM ST JOSEPH HOSPITAL WEST - (Acute Care)
    100 MEDICAL PLAZA
    LAKE SAINT LOUIS, MO 63367
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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