IndividualActive
Premal Thaker, MD
NPI 1891739173 · Gynecologic Oncology Physician · Saint Louis, MO
Provider details
- NPI number
- 1891739173
- Entity type
- Individual
- Primary specialty
- Gynecologic Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2006013538 (MO)
Practice location
4921 Parkview Pl
Div Obgyn Gynecologic Oncology, Ste 13c
Saint Louis, MO 63110-1032
Phone: (314) 362-3181
Fax: (314) 362-2893
Mailing address
Po Box 7412011
Chicago, IL 60674-2011
Registry dates
- Enumerated
- 2006-06-16
- Last updated
- 2025-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.