Most Relevant Information
Provider Data
| NPI Number: | 1003346099 |
| Provider Name: | ANISHA BHANGAV MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/13/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
660 SOUTH EUCLID STREET
CAMPUS BOX 8111
ST. LOUIS
MO
63110
Practice Location Phone/Fax
| Phone: | 3143626991 |
| Fax: |
Provider Mailing Location
660 S EUCLID AVE
NEUROMUSCULAR DEPT. CAMPUS BOX 8111
SAINT LOUIS
MO
631101010
Provider Mailing Phone/Fax
| Phone: | 3143626991 |
| Fax: |