Individual provider · NPI-1

Dr. Oresta Agastra, MD

Family Medicine · Saint Louis, MO

NPI number1750133542
StatusActive
Last updated in NPPESJun 17, 2024

Details

NPI
1750133542
Entity type
Individual (NPI-1)
Name
Dr. Oresta Agastra
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 4, 2024
Certification date
Jun 17, 2024
Last updated
Jun 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine2024020740MOYes

Practice location

12680 Olive Blvd Ste 300
Saint Louis, MO 63141-6322

Phone 314-251-8888 · Fax 314-251-8889

Mailing address

615 S New Ballas Rd
Saint Louis, MO 63141-8221

Phone 314-509-5305 · Fax 314-251-4454

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Saint Louis, MO