Mr. Etai Goldenberg, MD
Mr. Etai Goldenberg, MD is an Urology in St. Louis, Missouri. Graduated from Wayne State University School of Medicine in 2007, 19 years ago. Practices with Urology of St Louis Inc, a 111-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Missouri.
- Years since qualifying
- 19
- Trained at
- Wayne State University School of Medicine
- Licensed in
- IL, MO
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
12855 N Forty Dr Ste 375St. Louis, MO 63141
Phone: (314) 567-6071
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 6812 State Route 162 Ste 200, Maryville, IL 62062-8562 — (618) 288-0900
Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X · Licence 2013013914 (MO) |
|---|---|
| Urology Physician | Taxonomy 208800000X · Licence 036133097 (IL) |
Record details
| NPI number | 1669663605 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 6, 2007 |
| Last updated in NPPES | December 1, 2021 |
| Certification date | December 1, 2021 |
| Mailing address | 12855 N. Forty Dr., Ste 375, St. Louis, MO 63141 |
Medicare enrollment
| Medicare specialty | UROLOGY |
|---|---|
| Medical school | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2007 (19 years in practice) |
| Group practice | Urology Of St Louis Inc — 111 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Other providers in St. Louis
-
Saint Louis University
1225 S Grand 2L Door 1, St. Louis, MO 63104-6310 · (314) 977-4440