# ENDOCRINOLOGY DIABETES & METABOLISM CONSULTANTS P C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174699193
- **Authorized official:** K GEORGE THAMPY MD (DIRECTOR)
- **Authorized official phone:** (314) 842-1588

## Contact information

- **Practice address:** 10004 KENNERLY RD, SUITE 160B, SAINT LOUIS, MO 63128-2141
- **Practice address phone:** (314) 842-1588
- **Practice address fax:** (314) 543-5298
- **Mailing address:** 10004 KENNERLY RD, SUITE 160B, SAINT LOUIS, MO 63128-2141
- **Mailing address phone:** (314) 842-1588
- **Mailing address fax:** (314) 543-5298

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 112762 | MO | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 04/22/2020