Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 30180 | MO |
N | 207VX0201X | Gynecologic Oncologist | 30180 | MO |
NPI | 1447523485 |
---|---|
Provider Name | Andrew Evangelos Galakatos |
First Address | St Louis, MO 63105-3896 |
Second Address | St Louis, MO 63110-1093 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2012 |
Last Update Date | 22/02/2012 |