Individual
NEVEL MATHEW VAIDYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 257-8000
Mailing address
401 BERKLEY PLACE CT, OLIVETTE, MO 63132-4306
(314) 365-7561
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2023022770
MO
208M00000X
Hospitalist Physician
Primary
2023022770
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
04/15/2026
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