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1306409248
ISHANA PREMA SHETTY
SAINT LOUIS, MO
NPI
1306409248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: MO 2023006694)
Enumeration Date
2019-04-16
Last Update Date
2024-04-25
Business Address
Dr. ISHANA PREMA SHETTY MD
4901 FOREST PARK AVE DIV OBGYN FAMILY PLANNING, STE 710
SAINT LOUIS, MO 63108-1495
Phone number: 314-362-4211
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Mailing Address
Dr. ISHANA PREMA SHETTY MD
PO BOX 60352
SAINT LOUIS, MO 63160-0352
Phone number: 314-362-4211
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