Individual
POORNAASHRI MALARVANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 268-4070
(314) 268-4019
Mailing address
2352 THE COURTS DR, CHESTERFIELD, MO 63017-3501
(314) 546-1748
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
V8679
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/30/2022
Last updated
06/24/2025
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