Individual provider · Type 1 NPI

Supreeth Narayana Gowda, MBBS

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1790418010 Active

Practice location

4921 Parkview Pl
St. Louis, MO 63110-1032

Mailing address

660 S Euclid Ave
St. Louis, MO 63110-1010

Other practice locations

  • 740 S Limestone Room J401, Lexington, KY 40536-0001 · (859) 257-0754

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Neurology Physician 2084N0400X2026000723 (MO)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1790418010

Supreeth Narayana Gowda, MBBS's National Provider Identifier is 1790418010, issued on Jul 5, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Jun 15, 2026.