Jyotirmaya Nanda, M.D. Valid NPI

Individual provider · Internal Medicine Physician · O Fallon, MO

NPI

1629039714

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

108214 (MO)

Sex

Male

Sole proprietor

No

Enumerated

2006-03-29

Last updated

2025-09-11