Active NPI
Gayathri Dundoo
- Internal Medicine Physician
- Saint Louis, MO
National Provider Identifier
1629001706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2005022496
- Legal business name
- GAYATHRI DUNDOO
- Practice address
- 2325 Dougherty Ferry Rd
Saint Louis, MO 63122-3356 - Phone
- (636) 464-9500
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gayathri Dundoo
- Title
- Owner
- Phone
- (636) 464-9500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2005022496 | MO | Primary |
Addresses
Primary practice location
2325 Dougherty Ferry Rd
Saint Louis, MO 63122-3356
Mailing address
13108 Barrett Meadows Dr
Ballwin, MO 63021-3808
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1114981008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629001706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13108 BARRETT MEADOWS DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630213808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 DOUGHERTY FERRY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631223356",
"telephone_number": "636-464-9500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAYATHRI DUNDOO",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DUNDOO",
"authorized_official_first_name": "GAYATHRI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "636-464-9500"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MO",
"license": "2005022496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.