Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gateway Geriatric Services LLC

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1114219417

Gateway Geriatric Services LLC is a Geriatric Medicine (Internal Medicine) Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2011.

Licensed in
MO
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12026 Conway Rd
Saint Louis, MO 63131-2417
Phone: (314) 225-6015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence 2005019644 (MO)

Record details

NPI number1114219417
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shailaja Pulisetty — Physician/President · (314) 225-6015
NPI enumeratedMay 5, 2011
Last updated in NPPESJuly 13, 2011
Mailing address12026 Conway Rd, Saint Louis, MO 63131-2417

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