IndividualActive
Geetha Balasubramanian, MD
NPI 1942219563 · Nephrology Physician · Lake St Louis, MO
Provider details
- NPI number
- 1942219563
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2008019340 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1000 Edgewater PT Ste 303
Lake St Louis, MO 63367-2954
Phone: (636) 265-2225
Fax: (636) 265-0320
Approximate (ZIP-level) locationGet directions
Mailing address
1000 Edgewater PT Ste 303
Lake St Louis, MO 63367-2954
Additional practice locations (1)
- 3394 Mckelvey Rd Ste 115Bridgeton, MO 63044-2531Phone: (636) 265-2225Fax: (636) 265-0320
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2024-08-14
- Certified
- 2024-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.