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Individual

DR. LALITHKUMAR K CHOUHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11125 DUNN RD, STE 204, SAINT LOUIS, MO 63136-6132
(314) 839-5522
(314) 839-5351
Mailing address
11125 DUNN RD, STE 204, SAINT LOUIS, MO 63136-6132
(314) 839-5522
(314) 839-5351

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036073350
IL
207RC0000X
Cardiovascular Disease Physician
Primary
R2E98
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000012519
ESSENCE
01
006029924
MORRMCR
MO
01
060067892
ILRRMCR
IL
01
1455V3831
GHP/CMR
05
203348701
MO
01
229043
HLNK
01
2500129
UHC
01
27698
MOBS/BLCHOICE
MO
01
431098908
TRICARE
01
4379428
AETNA
01
5567V8816
HCUSA
01
6287491
CIGNA
01
F18347
MERCY
Enumeration date
08/25/2005
Last updated
12/02/2021
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