| Dr Prashanth Konatham Haribabu, DDS, BDS, MDS, MSD | |
|
1500 Park Ave, Oral Maxillofacial Surgery, St Louis, MO 63104-3024 | |
| (146) 853-5793 | |
| (314) 588-8437 |
| Full Name | Dr Prashanth Konatham Haribabu |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 1500 Park Ave, St Louis, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811317142 | NPI | - | NPPES |
| 14339940 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2901021748 (Michigan) | Secondary |
| 122300000X | Dentist | 2018032931 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Prashanth Konatham Haribabu, DDS, BDS, MDS, MSD 1500 Park Ave, Saint Louis, MO 63104-3024 Ph: (314) 833-2723 | Dr Prashanth Konatham Haribabu, DDS, BDS, MDS, MSD 1500 Park Ave, Oral Maxillofacial Surgery, St Louis, MO 63104-3024 Ph: (146) 853-5793 |
Ms. Carla Daugherty, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5471 Dr Martin Luther King Dr, St Louis, MO 63112 Phone: 314-367-5820 Fax: 314-367-7010 | |
Dr. Alan Samuel Levi, PHD DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 11709 Old Ballas, Ste 100, St Louis, MO 63141 Phone: 314-432-0960 Fax: 314-432-0972 | |
Dr. John Andrew Schleiffanth, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6512 Lansdowne Ave, St Louis, MO 63109 Phone: 314-351-6881 Fax: 314-351-2203 | |
Dr. Thomas A Switzer, DDS Dentist Medicare: Medicare Enrolled Practice Location: 100 N Euclid, Suite 603, St Louis, MO 63108 Phone: 314-361-3100 Fax: 314-361-0030 | |
Dr. David Earl Goodman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10004 Kennerly Rd, Suite 240, St Louis, MO 63128 Phone: 314-849-3234 Fax: 314-849-3241 | |
Dr. Cornell C Thomas, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3737 N Kings Highway, Suite 108, St Louis, MO 63115 Phone: 314-389-9990 Fax: 314-389-7722 | |
Dr. Kurt Henry Studt, DDS Dentist Medicare: Medicare Enrolled Practice Location: 777 S New Ballas Rd, Suite 225w, St Louis, MO 63141 Phone: 314-567-5556 Fax: 314-995-6077 |