Healthcare Provider Details

I. General information

NPI: 1457042681
Provider Name (Legal Business Name): NANKEE KUMAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2023
Last Update Date: 08/12/2024
Certification Date: 08/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CHILDRENS PL
SAINT LOUIS MO
63110-1002
US

IV. Provider business mailing address

660 S EUCLID AVE MSC 8116-0049-3S34
ST LOUIS MO
63110
US

V. Phone/Fax

Practice location:
  • Phone: 314-454-4870
  • Fax:
Mailing address:
  • Phone: 314-454-6006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: