Individual
SREENU ADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10018 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-7275
(636) 333-4510
Mailing address
PO BOX 270653, SAINT LOUIS, MO 63127-0653
(314) 525-7275
(636) 333-4510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2003023195
MO
208M00000X
Hospitalist Physician
2003023195
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208979500
—
MO
Enumeration date
05/17/2006
Last updated
01/31/2024
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