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Contact Information

NARSIMHA R MUDDASANI, MD
100 N 8TH ST
EAST SAINT LOUIS, IL62201-2989
 Phone: 618-271-0130
 Fax: 618-271-6325
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for NARSIMHA R MUDDASANI · (Male)

NPI # 1548366263
Status Active
Credentials MD
Entity Individual
Enumeration date 09/16/2006
Last updated 05/17/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036089128
  • MO License # 105499
  • MO Medicaid 207790411
Hospital affiliation(s)
  • TOUCHETTE REGIONAL HOSPITAL INC - (Acute Care)
    5900 BOND AVENUE
    CENTREVILLE, IL 62207
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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