Individual
DR. SUMANA VARDHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BARNES JEW HOSP PLZ, SAINT LOUIS, MO 63110-1003
(314) 747-3000
Mailing address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2023010458
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2019
Last updated
10/05/2023
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