Prabha Partap MD

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

35538 Issued in MO

Legal business name

PRABHA PARTAP MD

Practice address

777 S New Ballas Rd
Suite 301E
Saint Louis, MO 63141-8705

Phone

(314) 692-0117

Fax

(314) 993-6194

NPI assigned

Dec 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Prabha Partap, MD

Title

Pathologist / Lab Director

Phone

(314) 821-0113

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• DBA County Surgical Pathology Lab Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1043494685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S NEW BALLAS RD",
            "address_2": "SUITE 301E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418705",
            "telephone_number": "314-692-0117",
            "fax_number": "314-993-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S NEW BALLAS RD",
            "address_2": "SUITE 301E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418705",
            "telephone_number": "314-692-0117",
            "fax_number": "314-993-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRABHA PARTAP MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "PARTAP",
        "authorized_official_first_name": "PRABHA",
        "authorized_official_title_or_position": "PATHOLOGIST / LAB DIRECTOR",
        "authorized_official_telephone_number": "314-821-0113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MO",
            "license": "35538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "1603",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "11-50016",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "702206707",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010019679",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "177567",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA County Surgical Pathology Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Pozzi, D.O.
• Katherine Miles Pozzo, CRNA
• Gabriela Cecilia Pozzuoli Aguilar, MD
• PPG Clinical Pathology, LLC
• Ashley Prabakar
• Padmini Prabhu, PA
• Sumanth Damodar Prabhu, MD
• Anagha Prabhune, MD
• Lawrence Prablek, MD
• Practice of Rosemary Cannistraro, LLC

• Clinical Medical Laboratory in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Medical Laboratory in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.