Prashanth Konatham Haribabu, DDS, BDS, MDS, MSD
NPI 1811317142 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1500 Park Ave
Oral Maxillofacial Surgery
St Louis, MO 63104 - Phone
- (146) 853-5793
- Fax
- (314) 588-8437
Additional practice sites
- 12000 Bellefontaine Rd, Saint Louis, MO
Registry record
- Primary taxonomy
- Dentist
122300000X
- Also registered as
- Oral and Maxillofacial Surgery (Dentist)
- Licence states on file
- MI, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri