Basic Information
| Provider Information | |||||||||
| NPI: | 1205069085 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GADANI | ||||||||
| FirstName: | GAYATRIBEN | ||||||||
| MiddleName: | SAMEER | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 832 HEATHERHAVEN DRIVE | ||||||||
| Address2: | |||||||||
| City: | BALLWIN | ||||||||
| State: | MO | ||||||||
| PostalCode: | 63011 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9526871604 | ||||||||
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| Practice Location | |||||||||
| Address1: | 221 N GRAND BLVD | ||||||||
| Address2: | |||||||||
| City: | SAINT LOUIS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631032006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3149774825 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/27/2009 | ||||||||
| LastUpdateDate: | 10/29/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 2013030345 | MO | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.