Individual
DR. HARI THANIGARAJ SRIHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1011 BOWLES AVE STE 300, FENTON, MO 63026-2387
(636) 496-5065
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-0001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
106453
MO
207RI0011X
Interventional Cardiology Physician
Primary
106453
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13660004
MEDICARE IDENTIFICATION
MO
Enumeration date
06/12/2006
Last updated
10/27/2020
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