DR. SUSHAMA V PATIL


Address: 4554 Laclede Ave, Unit 102, Saint Louis, MO 63108-2156
Phone: 3143673274

DR. SUSHAMA V PATIL (NPI# 1750598280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750598280
Entity Type Individual
Full Name DR. SUSHAMA V PATIL
Credential M.D.
Practice Address 4554 Laclede Ave
Unit 102
Saint Louis
MO 63108-2156
Practice Telephone 3143673274
Mailing Telephone 3143673274
Enumeration Date 2007-05-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZN0500X Pathology
Specialization: Neuropathology
2001012063 MO Allopathic & Osteopathic Physicians

Office Location

Street Address 4554 LACLEDE AVE
UNIT 102
City SAINT LOUIS
State MO
Zip Code 63108-2156

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1003338492 Khin Min Thu Social Worker 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 2017-07-07
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Taxonomy Information

Taxonomy Code 207ZN0500X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Neuropathology

Taxonomy Definition

A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699296616 Nima Sharifai Pathology 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 2017-06-29
1114456100 Namita Sinha Pathology 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 2017-06-05
1093926602 Miguel A Guzman Pathology 1402 S Grand Blvd, Pathology Department, Saint Louis, MO 63104-1004 2007-05-25
1013037167 Richard Justin Perrin Pathology 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 2007-03-30
1467579086 Christopher Perry Dunham Pathology 660 S Euclid Ave, Saint Louis, MO 63110-1010 2007-03-26
1427067008 Anantha N Manepalli Pathology 660 Office Pkwy, Saint Louis, MO 63141-7103 2006-08-05
1942228622 Robert Edward Schmidt Pathology 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 2006-07-18
1487670790 Joseph Christopher Corbo Pathology 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 2006-07-14
1497708937 Hyung Doo Chung Pathology 915 N Grand Blvd, Pathology and Laboratory Service, Vamc, Saint Louis, MO 63106-1621 2006-05-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164469888 Linda E Spollen Pathology One Hospital Dr, Columbia, MO 65212-0001 2006-06-01
1790779528 Douglas Craig Miller Pathology One Hospital Drive, Columbia, MO 65212-0001 2005-09-08

Competitor

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City SAINT LOUIS
Zip Code 63108

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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