Bongu, Shalini

Bongu, Shalini is an sole proprietor health care provider with primary practice located at 6420 Clayton Road St Mary'S Health Center, St Louis MO 63117. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Bongu, Shalini can be contacted via phone (706) 910-5009.

Contact Information

Primary practice address
6420 Clayton Road St Mary'S Health Center St Louis MO 63117
Phone: (706) 910-5009
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1720498629
LBN Legal business name Bongu, Shalini
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2014
Last updated Apr 30th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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