Provider Demographics
NPI:1386834901
Name:NAVA-BAHENA, RUBEN GUADALUPE (MD)
Entity Type:Individual
Prefix:DR
First Name:RUBEN
Middle Name:GUADALUPE
Last Name:NAVA-BAHENA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:MSC 8234-05-02
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-362-7260
Mailing Address - Fax:314-362-6288
Practice Address - Street 1:1 BARNES JEWISH HOSPITAL PLZ
Practice Address - Street 2:DIV SURG CT ADULT THORACIC
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1003
Practice Address - Country:US
Practice Address - Phone:314-362-7260
Practice Address - Fax:314-362-6288
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2021-12-08
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Provider Licenses
StateLicense IDTaxonomies
MO2016032192208G00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200053831Medicaid