Healthcare Provider Details

I. General information

NPI: 1598792269
Provider Name (Legal Business Name): SUNIL M APTE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 04/25/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 PROGRESS POINT PKWY DIV SURG UROLOGY, STE 106
O FALLON MO
63368-2206
US

IV. Provider business mailing address

PO BOX 60352
SAINT LOUIS MO
63160-0352
US

V. Phone/Fax

Practice location:
  • Phone: 314-362-8200
  • Fax: 314-454-5244
Mailing address:
  • Phone: 314-362-8200
  • Fax: 314-454-5244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberR8C82
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: