Patnana, Radha

Patnana, Radha is an individual health care provider with primary practice located at 7419 Watson Rd , Saint Louis MO 63119-4415. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Patnana, Radha can be contacted via phone (314) 400-3360.

Contact Information

Primary practice address
7419 Watson Rd Saint Louis MO 63119-4415
Fax: (314) 400-3361
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2001013610 Missouri

Profile Details

NPI number 1144214610
LBN Legal business name Patnana, Radha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Jun 29th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144214610 NPPES
Missouri MEDICAID 205395205

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