Dr. Prashanth Konatham Haribabu is a St Louis, Missouri based Oral and Maxillofacial Surgeon who is specialized in Oral and Maxillofacial Surgery. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Prashanth Konatham Haribabu is 2018032931 for Dentistry in Missouri. His current practice location is 1500 Park Ave, Oral Maxillofacial Surgery, St Louis. Patients can reach him at 146-853-5793.
Dr. Prashanth Konatham Haribabu deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
Dr. Prashanth Konatham Haribabu speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Prashanth Konatham Haribabu
Specialization:
Oral and Maxillofacial Surgeon
Gender:
Male
Credentials:
DDS, BDS, MDS, MSD
Accepts Medicare Assignment:
No
Practice Address:
1500 Park Ave, Oral Maxillofacial Surgery, St Louis, Missouri, 63104-3024
Phone:
146-853-5793
Fax:
314-588-8437
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1811317142
NPI Enumeration Date:
25 Apr, 2014
NPI Last Update On:
03 Oct, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Prashanth Konatham Haribabu are as mentioned below.
License Number
Specialization
State
Status
2018032931
Dentistry
Missouri
Primary
2901021748
Oral and Maxillofacial Surgery
Michigan
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Prashanth Konatham Haribabu such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
14339940
Medicaid
Missouri
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1500 Park Ave, Saint Louis, Missouri
Zip:
63104-3024
Phone Number:
314-833-2723
Fax Number:
314-588-8437
Patients can reach Dr. Prashanth Konatham Haribabu at 1500 Park Ave, Oral Maxillofacial Surgery, St Louis, Missouri or can call to book an appointment on 146-853-5793. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.