Provider Demographics
NPI:1144284225
Name:NEMETH, PATTI M (MD)
Entity type:Individual
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First Name:PATTI
Middle Name:M
Last Name:NEMETH
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Gender:F
Credentials:MD
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Mailing Address - Street 1:P O BOX 504178
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63150-0001
Mailing Address - Country:US
Mailing Address - Phone:314-878-2888
Mailing Address - Fax:314-576-8167
Practice Address - Street 1:232 S WOODS MILL RD
Practice Address - Street 2:SUITE 400 EAST
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3417
Practice Address - Country:US
Practice Address - Phone:314-878-2888
Practice Address - Fax:314-576-8167
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2014-03-04
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Provider Licenses
StateLicense IDTaxonomies
MO1037052084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO208859512Medicaid
G662214Medicare UPIN
MO002014649Medicare PIN