Nanda, Jyotirmaya

Nanda, Jyotirmaya is an individual health care provider with primary practice located at 1101 Highway K , O Fallon MO 63366-8431. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Nanda, Jyotirmaya can be contacted via phone (636) 379-8138.

Contact Information

Primary practice address
1101 Highway K O Fallon MO 63366-8431
Phone: (636) 379-8138
Fax: (636) 669-2401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 108214 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 108214 Missouri

Profile Details

NPI number 1629039714
LBN Legal business name Nanda, Jyotirmaya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Jul 8th, 2007 - about 19 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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