Individual
SONIANAGARAJ MELKAVERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12303 DEPAUL DR, BRIDGETON, MO 63044
(314) 317-0600
(314) 317-0606
Mailing address
5410 MARYLAND WAY STE 300, BRENTWOOD, TN 37027-5339
(615) 377-5603
(615) 290-5191
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2007002168
MO
208M00000X
Hospitalist Physician
2007002168
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184741860
—
IL
05
—
207317405
—
MO
Enumeration date
03/26/2007
Last updated
11/16/2017
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