Healthcare Provider Details

I. General information

NPI: 1033770540
Provider Name (Legal Business Name): BINITA NEUPANE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2019
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4921 PARKVIEW PL STE 13B
SAINT LOUIS MO
63110-1032
US

IV. Provider business mailing address

660 S EUCLID AVE # 002105
SAINT LOUIS MO
63110-1010
US

V. Phone/Fax

Practice location:
  • Phone: 314-362-3500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2026024175
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: